File:Surgery; its theory and practice (1896) (14591125650).jpg

Identifier: surgeryitstheory00wals (find matches)
Title: Surgery; its theory and practice
Year: 1896 (1890s)
Authors: Walsham, William Johnson, 1847-1903 Spencer, Walter George, 1858-1940
Subjects: Surgery
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Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ra for three or four days.The catheter should allow a catgut bougie to pass through it toact as a guide when it has to be changed. URETHRAL OR URINARY ABSCESSES. 719 Cocks operalion of perineal section, or tapping the dilatedurethra at the apex of the prostate unassisted by a guide staff.Secure the patient in the hthotomy position. Pass the left fore-finger into the rectum, and place its points on the apex of theprostate. Plunge a double-edged scalpel (Cocks knife) boldlyinto the median line of the perineum, and carry it towards the tipof the finger in the rectum. Enlarge the incision by an upwardand downward movement of the knife, but do not withdraw it.When the point is felt near the tip of the finger, pass it onwardsinto the urethra. Withdraw the knife, keep the finger in the rectum,and guide a probe-pointed director into the bladder. Withdrawthe finger from the rectum, and pass a cannula along the directorinto the bladder, and tie it in for a few days. This appears to be Fig. 350.
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Wheelhouses probe-gorget. a good operation for impervious stricture with fistulse and muchinduration of the perineum, and is held in considerable favor bysome of Guys Surgeons. For such strictures, however, Wheel-houses operation is more generally performed. Electrolysis has recently been advocated for stricture, andseveral successful cases in this country have been reported by thelate Dr. Stevenson and Mr. Bruce Clarke. It consists in passinga catheter-electrode down to the face of the stricture, connectingit with the battery, and applying the other electrode to someother part of the body. It is believed to act by causing somechemical change in the cicatricial tissue, thus leading to its ab-sorption. It has been employed for stricture where an instrumentafter persistent attempts.cannot be passed, and as a substitute insome cases for dilation. Sufficient time has not elapsed to judgeof the results that may be expected from this method of treat-ment. It is certainly not unattended with

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