File:The Pathology and treatment of venereal diseases (electronic resource)- including the results of recent investigations upon the subject (1866) (14770856522).jpg

Identifier: 04801644.5817.emory.edu
Title: The Pathology and treatment of venereal diseases (electronic resource): including the results of recent investigations upon the subject
Year: 1866 (1860s)
Authors: Bumstead, Freeman J. (Freeman Josiah), 1826-1879
Subjects: Sexually transmitted diseases Sexually transmitted diseases Sexually Transmitted Diseases Venereology
Publisher: Philadelphia : Henry C. Lea
Contributing Library: Emory University, Woodruff Health Sciences Center Library
Digitizing Sponsor: Emory University, Woodruff Health Sciences Center Library

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(After Gray.) and forming a continuation of the suspensory ligament above, andof the perineal fascia below, and will be best understood by adescription of the mode of dissecting it. •• The penis and scrotum are to be circumscribed by an incisionat the distance of three fingers breadth all around, and crossing theperineum at the anterior margin of the sphincter. The dissection of the skin and subjacent cellular and adiposetissues is to be made towards the penis, on the level of the fascialata laterally, and of the perineal fascia posteriorly, and carefullycontinued to the body of the penis, as far as the corona glandis.By this means, the penis, as well as the suspensory ligament, isdenuded of its loose movable investments. 244 STRICTURE OF THE URETHRA. An incision is then to be made along the dorsum of the penis,exactly in the median line, splitting through the suspensory liga- Fig. 12.
Text Appearing After Image:
Grf Sacro Sciatic Ligt- Superficial Perinea/Artery—Sup&ficia I Perineal NerveInternal Pudie N&rveInternal Fudic Artery (After Gray.) meat, and extending forward to the corona between the dorsal ves-sels and nerves that rnn parallel on either S1de. The adhesionsofthe sheath along the dorsum are firm, and require careful dissectionthe bloodvessels and nerves being raised with it, serve as a guide toshow the line of adhesion. . The dissection being prosecuted laterally as wellas interiorlyand at the extremity, the entire corpus cavernosum is enucleatedthe muscles of the perineum being raised with the sheath. It isnow clearly seen that the suspensory ligament from above, and theperineal fascia from below and laterally, form one continuous mem-brane with the sheath, inclosing the corpus cavernosum in its cavity,and embracing the corpus spongiosum urethra between two layers,one of which passes above, and the other below it. The excavatedbase of the glans adheres inseparably to the

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