File:Interstate medical journal (1907) (14760176321).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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the sub-epithelial tissue, that may per-sist as such or be followed by contraction, a condition that may involvethe whole genito-urinary tract, though more usually locating itself inone or more areas of various sizes. (c) Mechanical injury that results in true cicatricial tissue. Now turning to the diagrammatic sketch, Fig. I, we have a draw-ing of the normal urethra, a transverse section of the penis two inchesbehind the gland. Note the infoldings of the mucous membrane. Thelength of the average male urethra is nine inches or 23 c. m., with mucousmembrane irregularly enfolded the whole length. The capacity of theanterior urethra alone, when distended, is on an average 25 cc, or seven 526 PETERKIN. drams. Do not these facts suggest that it will take a considerable volumeof water to wash out thoroughly six or nine inches of such infolding?In other words, the small urethral syringe, the average capacity of whichis two drams, or five cc, is at best a makeshift remedy, since the fluid it
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injects cannot, without injury, be bactericidal in the true sense of theword, and the amount it contains will not mechanically cleanse. Fig. 2 is a section of Fig. I greatly magnified to show more clearlythe histology. Here you see the layer of cylindrical epithelium surround- URETHRITIS AND COMPLICATIONS. 527 ed by blood vessels and sections of the urethral glands that are racemoseglands. (See Fig. 7, E.) In Fig. 3 we have a section of the urethra showing sub-epithelialcellular infiltration in its earliest stage, composed of round cells and pos-sibly a few proliferated connective tissue cells, the treatment for which,if they do not resolve in the normal course of events, is pressure. Fig. 4 shows a later result of such infiltration where treatment (pres-sure), has been inefficiently applied, or not at all. So the pathologicalprocess has progressed to the stage of connective tissue formation; inother words, a true stricture. Fig. 5 shows a section of the roof of the urethra with round

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