File:The surgical diseases of the genito-urinary organs including syphilis (1889) (14801232623).jpg

Identifier: surgicaldiseases00keye (find matches)
Title: The surgical diseases of the genito-urinary organs including syphilis
Year: 1889 (1880s)
Authors: Keyes, E. L. (Edward Lawrence), 1843-1924
Subjects: Urology Syphilis
Publisher: New York : D. Appleton and Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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slightly uj)on the backfor a short distance from the point. Operation.—The patient bound in the lithotomy position, and thestaff introduced in contact with the stone, the operator passes theindex-finger of the left hand into the rectum, familiarizes himself withthe feel of the parts, and accurately locates the apex of the prostate,just where the staff enters it. He now transfixes the perinaeum about MEDIAN OrERATION. 309 half an inch above the anus, with the sharp-pointed bistoury, the cut-ting-edge upward, entering the point of the same, guided by his fingerin the rectum, into the central groove of the staff, at the apex of theprostate. The double-edged point is now advanced very slightly intothe groove, so as certainly to enter the urethra,and barely nick the apex of the prostate. Finally,the knife is made to cut forward and divide the membranous urethrawithin, and, the han-dle being elevated inthe vertical plane, theblade is swept aroundso as (theoretically atleast) to avoid the
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