File:Interstate medical journal (1907) (14576656700).jpg

Identifier: interstatemedica1419unse (find matches)
Title: Interstate medical journal
Year: 1907 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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urethra; route one, fromthe kidney, through the ureter into the bladder, the opening of the ureterbeing represented by the white spot A; the bladder, by the dark circulararea which runs into the urethra. Route two, from the testes, throughthe epididymis and the vas deferens that passes round through the ab- 528 PETERKTN. dominal cavity back of the bladder and opens into the reservoir B, theseminal vesicles, that terminate in a duct which passes through the pros-tate into the urethra. In the prostatic portion are other openings, thoseof the prostatic ducts, about 20 in number. Proceeding further alongthe urethra, we perceive two glands, C, of considerable size, opening intothe urethra, called Cowpers glands. Moreover, the innumerable open-ings of the glands of Littre or the crypts of Morgagni in the anteriorurethra must not be forgotten. So at a glance the connecting avenues ofthe whole genito-urinary system can be seen. What knowledge of practical value is to be deduced from retaining
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Fig. 5.—Showing a segment of roof of urethra, with round-cell infiltration of the mu-cosa and tubular ducts of follicles. such a mental picture? Let us, for instance, start at the usual point ofinfection, the meatus, ascertain the route of a gonococci invasion, andwe will then perceive. We know that the germ travels like fire along theepithelial cells. By the way, if this is true is the compressor urethrae, avoluntary muscle shown in Fig. 6, going to prevent the invasion of theposterior urethra ? No! In 80 per cent or 85 per cent of specific urethritisthere is an invasion of the posterior urethra, another factor against thehand syringe that holds only two drams. However, coming back to thesubject proper, the germ may travel as follows: From the meatus, alongthe urethra to one or more of the glands of Littre, Cowpers glands, mem- URETHRITIS AND COMPLICATIONS. 529 branous and prostatic urethra, from thence to the prostatic ducts, termi-nating here; that is in the prostatic urethra, an

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