A system of genito-urinary diseases, syphilology and dermatology (1893) (14577641788)
Zusammenfassung
Identifier: systemofgenitour01morr (find matches)
Title: A system of genito-urinary diseases, syphilology and dermatology
Year: 1893 (1890s)
Authors: Morrow, Prince A. (Prince Albert), 1846-1913, ed
Subjects: Skin Syphilis Genitourinary organs
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons
Text Appearing Before Image:
on a study of eighty-four cases and twenty-three operations.He says : That all the evidence points to the conclusion that we have todeal, even in its earliest recognizable stages, with a general disease whichmanifests itself by localizations; that present experience does not war-rant the belief that operations, however extensive, undertaken with theview of excising localized lesions, and thereby radically curing the dis-ease, will be successful; that our chief resource is still in general anti-tubercular treatment, reserving surgical interference for the palliation andrelief of pain, bleeding, and wasting suppuration. The results obtained from the use of Kochs fluid in cases of genito-urinary tuberculosis have been for the most part either negative or dis-tinctly unfavorable. But one radical operation for the removal of a tubercular seminal vesi-cle has been recorded. Ullmann removed successfully the right seminalvesicle for tubercular disease, secondary to that in the epididymis. The
Text Appearing After Image:
Fig. 2.—(From Zuckerkandl.)^, prostate; f d.^ vas deferens; V. $., seminal vesicle; B, bladder; M, rectum. patient was a boy of seventeen years, with a right-sided tubercular epididy-mitis of several months standing. Rectal examination showed the rightseminal vesicle twice too large and very hard, while the left vesicle wasapparently normal. On June lYth the testicle was removed, and the vasdeferens found pretty extensively infiltrated with tubercle; on July 27ththe seminal vesicle was removed by Zuckerkandls method. Ullmann de-scribes the operation as follows : A semicircular incision is made in the perinseum, with its base toward the sacrum. Then, with an assistants63 994 DISEASES OF THE SEMINAL VESICLES. finger in the rectum as a guide, the parts are carefully dissected, the partof the levator ani which comes from the os pubis is divided and so theprostate is laid bare in the wound. Then the rectum is exposed a littlemore fully, and the base of the bladder brought more into promi