File:Manual of pathological anatomy (1875) (14595307428).jpg

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Identifier: manualofpatholog00jone (find matches)
Title: Manual of pathological anatomy
Year: 1875 (1870s)
Authors: Jones, C. Handfield, (Charles Handfield), 1819-1890 Sieveking, Edward H. (Edward Henry), 1816-1904 Payne, Joseph Frank, 1840-1910, ed
Subjects: Anatomy, Pathological Anatomy Pathology
Publisher: London : Churchill
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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common kind of stricture (which occurs in thebtrictuied urethra, spongy portion) the urethra is narrowed in amuch greater extent of its course, and sometimesin an extreme degree. Half an inch or an inch is not uncommonlythe length of the contracted part, and sometimes the whole extent ofthe spongy portion is affected. The stricture occupies sometimes oneside, at others it completely encircles the canal. It is not difficultto understand the mode of its production, which is very illustrativeof the general contractile tendency of exudation matter. Effusionand inflammatory new growth take place during inflammation inthe mucous tissue itself, or in the submucous, as well as some-times in the (corpus spongiosum; if this be not absorbed, it passesinto the state of fibroid or induration matter, and continually tendsto shrink up and contract into a narrower space. In proportionas this takes place the canal must be contracted. The mucousmembrane lining the indurated jjart is often ulcerated and
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MOIIBID CONDITIONS OF THE FEMALE URETHRA. 713 destroyed, commonly from the mechanical effect of catheterspushed against it; but it may also take place spontaneously,and it has happened that the indurated part being destroyedby the extending ulceration, the stricture has thereby beencured. A more common and less favourable result of deepulcerations is the perforation of the canal and the formationof a fistulous opening. When the obstruction occasioned by astricture is very great, and it may be such that the passage willhardly admit a bristle, the urethra behind is dilated, often in-flamed, and sometimes ulcerated, so as to give rise to urinaryfistula, or efiusion of urine. The bladder and ureters are affected,as we have before described. Of course the hypertrophy of thebladder, by propelling the urine more forcibly against the stricture,must tend to increase the dilatation of the canal behind. The urethra is sometimes obstructed by warty growths, whichare situated generally near the me

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