File:A manual of syphilis and the venereal diseases, (1900) (14595830040).jpg

Identifier: manualofsyphili00hyde (find matches)
Title: A manual of syphilis and the venereal diseases,
Year: 1900 (1900s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862-1908
Subjects: Syphilis Sexually Transmitted Diseases
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 37.—Sounding of the urethra. mucous membrane and to enable the point of the soundto gravitate as far as possible toward the bulb. With 528 SYPHILIS AND THE VENEREAL DISEASES. the left hand still holding the penis, the handle of theinstrument is steadily carried over the surface of theabdomen to the exact median line of the body (Fig. 37).Without elevating the handle of the sound, the latter isthen gently pushed toward the feet of the patient, whilethe left hand gathers up the scrotum, testicles, and penisand makes slight upward traction upon them. The pointof the sound should be followed closely throughout bythe little finger of the left hand, and when the point haspassed to the perineum and the curve of the instrumentcan be felt back of the scrotum, the penis and the tes-
Text Appearing After Image:
Fig. 3S.—Sounding of the urethra. tides are dropped and the fingers of the left hand areplaced on the perineum, where they give support to thelower wall of the urethra and keep the point of the in-strument well against the upper wall. Up to this timethe handle of the sound has been held constantly closeto the abdominal wall. The handle should now belifted and gently carried toward the feet, thus describ-ing an arc of a circle exactly in the median line of thebody. When the handle of the sound has reached andpassed the perpendicular (Fig. 38), the left hand leavesthe perineum and supports the handle of the sound, ORGANIC STRICTURE OF THE URETHRA. 529 while the right hand presses upon the pubes and re-laxes the triangular ligament, allowing the sound by-its own weight to slip through the membranous andprostatic portions of the urethra into the bladder (Fig.39). That the sound has entered the bladder may bedemonstrated by partially rotating the handle, showingthat the tip of the instru

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