File:Clinical lectures on stricture of the urethra and other disorders of the urinary organs (1878) (14801617803).jpg

Identifier: clinicallectures00harr (find matches)
Title: Clinical lectures on stricture of the urethra and other disorders of the urinary organs
Year: 1878 (1870s)
Authors: Harrison, Reginald, 1837-1908
Subjects: Urologic Diseases Urethral Stricture Urethra Urinary organs
Publisher: London : J. & A. Churchill Liverpool : Adam Holden
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ther than too little. Still, however,he submits, and you find that though he onlymicturated ten minutes before your interview withhim, some urine is left in the bladder. The factis, that by the growth upwards of the prostate, theoutlet of the bladder is above the water level. Youmay possibly be able, should further proof be wanted,to convince the patient of this, by asking him, after hehas made water in the usual position, to endeavour todo so with the pelvis raised—placing him on his handsand knees—when more urine escapes. The condition I have just described is wellillustrated in Plate D. Such being the state of affairs,viz., that the outlet is above the water level, what isthe remedy ? Clearly the remedy is a mechanicalone, and we must have resort to some artificial meansof emptying the bladder, otherwise the urine, beingstagnant, will decompose, and cystitis be added to theexisting distress. My views as to the management ofthe patient under these circumstances are so in Plate D
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