Surgical Treatment; a Practical Treatise On the Therapy of Surgical Diseases for the Use of Practitioners And Students of Surgery V.3

Cover Surgical Treatment; a Practical Treatise On the Therapy of Surgical Diseases for the Use of Practitioners And Students of Surgery V.3
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The operation is indicated in all strictures posterior to the penile urethra, strictures in the region of the bulb, impermeable strictures in any part of the urethra, and strictures associated with urinary fistula or peri-urethral abscess.
The patient should be placed in the elevated-pelvis perineal position (see Perineal Cystotomy, page 217). The scrotum should be elevated by being enveloped in a sling made of a moistened towel. A small, curved, Pig. 1707. — Perineal Urethrotomy with the Aid o
...f a Grooved Staff.
grooved staff or tunneled sound is introduced into the urethra and held by an assistant so that its convexity causes the urethra to press against the perineum. In the case of deep strictures the curve of the staff tends to push backward the stricture so that it is caused to bulge against the perineum.
An incision is made in the median line, as for median perineal cystotomy, from the base of the scrotum to a point about 1.3 cm. (J-^ inch) anterior to the anus. The urethra is exposed, and opened by a longitudinal incision.


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