File:Gonorrhea in the male - a practical guide to its treatment (1911) (14593297690).jpg

Identifier: gonorrheainmalep00wolb (find matches)
Title: Gonorrhea in the male : a practical guide to its treatment
Year: 1911 (1910s)
Authors: Wolbarst, A. L. (Abraham Leo), 1872-
Subjects: Gonorrhea Gonorrhea
Publisher: New York : International Journal of Surgery
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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er side of the penisa splint of cardboard or thin wood is applied, theouter skin of the organ being well protected with cot-ton. The splints are held in place by adhesive plasterstrips. The splint is covered with a tight bandage.It is important before leaving the patient to see if hecan pass his urine; for in this way we know whetheror not the splint has been applied too tightly topermit the passage of the urinary stream. Secondary HemorrJiage.—Secondary hemorrhagefollowing internal urethrotomy is not a rare occur-rence, especially when the patient is troubled withfrequent erections. If the cutting has been done 162 Gonorrhea in the Male. within five inches of the urinary meatus, the bloodwill appear externally at the meatus. If the cut isfurther hack than five inches, the hemorrhage maybe concealed and may cause considerable damagebefore it is learned that blood is flowing into thebladder. Hence it is a good rule never to do an in-ternal urethrotomy unless the stricture is situated
Text Appearing After Image:
Fig. 50. Splint applied to the penis after urethrotomy. in the anterior urethra, so that any secondary hem-orrhage may be detected quickly. The writer recalls a case in which an alarmingsecondary hemorrhage took place four days afteroperation. The patient was asleep and was under-going a wet dream.^ He awoke after the emissionto find himself and the bed linen saturated withblooci, which was pouring from the urinary meatus External Urethrotomy. 163 at a most vicious rate. The bleeding resisted allefforts, and stopped only when a large steel sonndwas inserted in the canal, and a tight bandage ap-plied ontside of the organ. This case was excep-tional in that there was bnt a slight bleeding at thetime of the operation and none whatever np to theeventful fourth night. The patient made a goodrecovery. Hemorrhage is best stopped by inserting acatheter or hollow sound into the bladder and ap-plying pressure around the organ. Or a T-bandagemay be applied very tightly, with a pad over theperine

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