File:A system of genito-urinary diseases, syphilology and dermatology (1893) (14764143745).jpg

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Identifier: systemofgenitour01morr (find matches)
Title: A system of genito-urinary diseases, syphilology and dermatology
Year: 1893 (1890s)
Authors: Morrow, Prince A. (Prince Albert), 1846-1913, ed
Subjects: Skin Syphilis Genitourinary organs
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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k completely. The incontinence got better when the urethra wasnarrowed. The sexual function of the penis is fair, in spite of its misshapenness.Erection and ejaculation occur, but copulation is imperfect and fecunda-tion impossible. EPISPADIAS. 97 The separation of the pubic bones is readily recognized by palpation.It is a source of great annoyance to the patient, since it enlarges the epi-spadic opening and still further interferes with the sphincter. Exstrophyof the bladder occurs with epispadias, but it is a distinct malformation,and will be considered elsewhere. Prognosis is favorable. The incontinence usually improves after aclosed urethral canal has been formed, so that the patient can hold hiswater for from one to two hours. If incontinence remains after opera-tion, this can usually be controlled by wearing an apparatus to close thenew urethra. Treatment.—The operations for the relief of epispadias are amongthe triumphs of modern surgery, not only relieving the deformity, but
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Fig. 13.—Duplays operation for epispadias. restoring an almost perfect symmetry to the parts. Two methods havebeen most successful: 1, Median union of the edges of the urinary groove (operation ofDieffenbach and Duplay). 2. Plastic closure of the urinary canal by the formation of flaps(method of ISTelaton, Dolbeau, and Thiersch). I. Duplay divides his operation into three stages : 1. Straightening of the penis. 2. Formation of a new canal from the extremity of the glans to theneighborhood of the epispadic opening. 3. Junction of the two portions of the canal, 1. It is often difiicult to straighten out the penis, owing to defective 98 DISEASES AND INJURIES OF THE URETHRA. development of the corpora cavernosa. Single or multiple incisions aremade into tliose bodies in the neighborhood of the pubes. The processis the same as that used by Duplay for hypospadias, but done on the dor-sum of the penis. Subsequent development of the penis helps thestraightening. 2. An attempt is now made to

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v.1
Flickr tags
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  • bookid:systemofgenitour01morr
  • bookyear:1893
  • bookdecade:1890
  • bookcentury:1800
  • bookauthor:Morrow__Prince_A___Prince_Albert___1846_1913__ed
  • booksubject:Skin
  • booksubject:Syphilis
  • booksubject:Genitourinary_organs
  • bookpublisher:New_York___Appleton
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:130
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
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28 July 2014

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