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Clinical Lectures on Diseases of the Urinary Organs; Delivered at University College Hospital

Clinical Lectures on Diseases of the Urinary Organs; Delivered at University College Hospital


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1868 Excerpt: ...water. If no relief is afforded to the patient, another forms; and so several sinuses may arise, and other openings in various and surrounding parts, all giving exit to the urine. These fistulee may take place in a great number of situations, such as in the penis, in the scrotum, in the perineum, in the groin, and in the rectum; but the last are very rare. We will consider the first four by themselves, because fistulee which open into the rectum require a different treatment altogether. Then, respecting their specific characters, I shall make three classes, examples of which may be found in any of the localities named. First, fistulee may consist of simple openings or channels between the urethra and the external surface; or, secondly, they may be surrounded with inflammatory induration, which makes them more difficult to heal; and, lastly, they may be complicated 'with loss of substance from sloughing, so that even a portion of the urethra itself may have been destroyed; and these are the most difficult cases to deal with. Hence these fistulas classify themselves naturally as simple, indurated, and fistulee with loss of substance. I will deal briefly with the "simple urinary fistula." Whatever part of the canal it is connected with, it almost always heals if the stricture with which it is associated is dilated. Dilate the stricture, and in nine cases out of ten the fistula will heal. Patients, especially in private practice, are often extremely anxious about the result of an opening in the perineum or elsewhere through which the urine passes; and it is right that you should assure them for the most part, if the stricture is thoroughly dilated, the unnatural passage will heal of itself. But there is another point to be considered in connection wit...


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Product Details
  • ISBN-13: 9781236066763
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 50
  • Spine Width: 3 mm
  • Width: 189 mm
  • ISBN-10: 1236066766
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 109 gr

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Clinical Lectures on Diseases of the Urinary Organs; Delivered at University College Hospital
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