Urology v. 2, Volume 2D. Appleton and Company, 1912 |
Contents
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Common terms and phrases
abdominal abscess acute antiseptic atrophy blad bladder bladder wall blood calculus canal catheter catheterization cause cavity chronic condition congestion cord cystitis cystoscope cystotomy cysts diagnosis dilated discharge disease drainage ducts enlarged epididymis examination filiform finger fistula flaps fluid follicular forceps frequency of urination frequently give rise gland glans gonococcal growth hematuria hemorrhage hernia inches incision infection inflammation inguinal instrument irrigations kidney lesions lithotrite lobe malignant meatus membrane mucous nodules obstruction occur opening operation organ ounces pain palpation passed patient pelvic penis perineal perineal urethra perineum peritoneal peritoneum portion posterior urethra prepuce present prostatectomy prostatic hypertrophy prostatic urethra pubes rare rectal rectum removed residual urine result retention rupture scrotum seminal vesicles shows side solution sometimes stone stricture suppuration suprapubic cystotomy sutures symptoms syringe tenesmus testis tion tissue traumatism treatment tube tuberculosis tuberculous tumor tunica ulcer ureters urethrotomy urinary urine usually uterus vesical washed wound
Popular passages
Page 58 - Rome understood that crops following beans, peas and vetches were usually better than those following wheat or barley; but it was not until the last quarter of the nineteenth century that...
Page 279 - Halsted is admirably suited for this purpose. The perineum should be so elevated that it is almost parallel with the floor, thus allowing excellent retraction of the rectum and splendid exposure of the posterior surface of the prostate. After placing the patient upon the table, before elevating the thighs, a No.
Page 614 - ... epididymitis. When the obstruction persists, we have succeeded in relieving it by performing an anastomosis between the vas and that portion of the epididymis to the testicular side of the obstruction. The vas lies behind the spermatic artery, which sends its main branches forward to the inner side of the epididymis, anastomosing freely at this point with the artery of the vas. The epididymis is approached from its outer side. A portion of the head is picked up in toothed forceps and excised....
Page 281 - Owing to the rectangular shape of this instrument (Fig. 7) it is sometimes difficult to insert. Sometimes it is well to begin its introduction with the beak turned backward, and then to rotate the instrument 180 degrees before carrying it into the bladder. After the instrument has penetrated into the prostatic urethra it is generally advisable to remove the anterior bulb retractor, and thus allow the shaft of the tractor to be carried further forward.
Page 280 - INCISION. front of the anus, and the lateral branches directed outward and backward parallel to the ischiopubic ramus, each about 2 in. in length, as shown in Fig. 13. The incisions are carried through the skin, fat, and superficial fascia, and then by blunt dissection with the handle of the scalpel and the index finger of the left hand the space to each side of the central tendon is opened up. In this way it is very simple to open up by blunt dissection very quickly a space on each side reaching...
Page 573 - The fluid is contained in a distinct sac originating usually (O in some unobliterated part of the processus funiculo-vaginalis; (2) in a cyst formed independently of this process, eg, by dilatation of persistent tubules of the organ of Giraldes. a. With other Coexisting Hydroceles: — eg, (1) hydrocele of the tunica vaginalis with encysted hydrocele of the testis: (2) hydrocele of the tunica vaginalis with encysted hydrocele of the cord; (3) hydrocele of the tunica vaginalis with diffused hydrocele...
Page 596 - In a few cases — but these will be quite the exception — it is found, even after the free exposure of the cord, that it is not long enough to permit of the reduction well into the scrotum. In such cases it will be seen that the shortened structures are the spermatic artery and veins. These can be divided between two ligatures, care being taken to avoid injury to the vas and the vessels of the vas. It will then be found that the testicle can by gentle traction be brought down sufficiently to replace...
Page 615 - Because of the smallness of the structures involved, the operation is tedious rather than difficult.
Page 279 - V cutaneous incision. elevated that it is almost parallel with the floor, thus allowing excellent retraction of the rectum and splendid exposure of the posterior surface of the prostate. After placing the patient upon the table, before elevating the thighs, a No. 24 F sound should be inserted into the posterior urethra, to be used subsequently as a guide for urethrotomy. If the operator waits until the patient is placed in the urethrotomy position, he will frequently find it difficult to introduce...
Page 595 - Care should l»e taken not to injure the cord, and in children, where the peritoneal process is as delicate as tissue paper, the dissection must be made with great care and with small instruments. After complete transverse division of the vaginal process the upper end is closed with a catgut ligature, as...