Acute gonococcal urethritis in the male / by Victor Cox Pedersen.

  • Pedersen, Victor Cox, 1867-1958.
Date:
1913
Catalogue details

Licence: In copyright

Credit: Acute gonococcal urethritis in the male / by Victor Cox Pedersen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    which, in the long run, leads to least complications. Therefore, in the hands of the general practitioner, the expectant is by far the better, because it does not require premature interference with the in- flamed and damaged, delicate mucous membrane. In fact, I am accustomed to limit the irrigation treatment solely to cases of true anterior disease, with no appreciable congestion of the prostate, as determined by at least daily rectal examination of the prostate. Naturally such a person must be a man of means who can afford treatment once or twice a day for two or three weeks. Chetwood’s double current apparatus with a large irrigator never higher than the patient’s ear, thus furnishing pressure equal to that of the urine during micturi- tion and containing a hot, rather weak, solution, fulfils the requirement. The armies and navies of the world put the enlist- ed men to bed during the first two weeks of this disease, with the double purpose of affording quiet and of maintaining absolute control over the indi- vidual. This would be ideal in private work also, but so many patients would be betrayed by going to bed without previous obvious sickness that one may very rarely resort to it. In children this treatment is very serviceable, as naturally the parents invari- ably know of the affliction which commonly arises from unnatural practices on the part of vicious adults. In this connection I recall the case of a nine year old boy who was intentionally infected by a merchant of considerable social and financial standing, but of essential perversion of sexual in- stinct. The only treatment I could possibly give was rest in bed, urinary diluents, and bacterins. The patient did extremely well, although he im- proved slowly. The parents became impatient be- cause more was not being done locally for him and finally were unjust enough to take him from my care. It is certainly difficult to please some persons. This boy had not had a single complication or severe symptom.