A treatise on the urethra : its diseases, especially stricture, and their cure / by Benjamin Phillips.

Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the urethra : its diseases, especially stricture, and their cure / by Benjamin Phillips. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    183/352 (page 161)
    which menaces him is imminent. The desire to urine is felt at each instant, and is accompanied by the most acute pain ; the bladder, hard as a stone, is frequently elevated to the umbilicus, the abdomen is tender and painful on pressure, the skin is burning, the pulse is hard and acce- lerated, the face red and animated ; the patient is in continual agitation, and delirium is soon manifested. If the passage of urine be not promptly established by the efforts of nature or the assistance of art, the patient is placed in extreme danger; the urine accumulates more and more behind the obstacle in the urethra, in the bladder, in the ureters, and even in the kid- neys. These parts, doubly irritated by disten- sion and by the presence of an irritating fluid, inflame; and the inflammation is sometimes propagated to the peritoneum, and produces the most intense peritonitis. Coition always augments the difficulty of urining, because it cannot be accomplished without the production of irritation, frequently considerable enough to occasion inflammation. It is to this cause that we may attribute the more or less considerable dis- charge which is experienced after coition by those who have stricture of the urethra: this discharge diff'ers much from that of gonorrhoea, is manifested almost immediately after connec- tion, and is accompanied by little inflammation or pain. Having acquired, in twenty-four hours, M