Gonorrhea in the male - a practical guide to its treatment (1911) (14777625414)

Rubber strapping for epididymitis
Identifier: gonorrheainmalep00wolb (find matches)
Title: Gonorrhea in the male : a practical guide to its treatment
Year: 1911 (1910s)
Authors: Wolbarst, A. L. (Abraham Leo), 1872-
Subjects: Gonorrhea Gonorrhea
Publisher: New York : International Journal of Surgery
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School



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ge about eight inches long and twoinches wide, to one end of which is attached a strip ofadhesive plaster one inch wide and four incheslong. The scrotum is gently lifted and the unin-fiamed testicle pushed out of the way. The in-flamed organ is then encircled with the rubberbandage as tightly as the patient can bear it, andas the bandage is wrapped in place the adhesiveplaster is brought around, and holds it fast. Abso-lutely the only precaution necessary is to get theline of greatest pressure above the line of greatest 90 Gonorrhea in the Male. swelling—i. e., to make the adhesive plaster encirclethe organ above its equator, for otherwise it willpromptly slip off. The advantages of this bandageneed not be enumerated, but the chief one is thatit may be removed daily or every other day to beput on more tightly. This it is expedient to do.Also it sweats the scrotum, acting like a poultice.*Leeches applied to the scrotum are recommended^ ery highly by some writers. It is not maintained
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Fig. 17. The rubber bandage strapping. that they shorten the course of the attack, onlythat they quickly relieve the severe pain. Bleedingis apt to be excessive on account of the great vascu-larity of the scrotal tissues. Care should thereforehe taken to control all bleeding points before thesurgeon leaves his patient. Acute hydrocele, if excessively large and painful,is often relieved by puncture of the tunica vaginalis. *Keyes: Genito-Urinary Diseases, p. 727. Treatment: Acute Epididymitis. 91 During the height of the attack^ it is best that nolocal treatment be applied to the urethra; as soon,however, as the testis is ready for strapping, thelocal treatment of the urethra may be cautiouslyand carefully resumed. Various surgical pro-cedures have been suggested. Schindlerf seeks torelieve the tension by puncture, or if possible byaspiration. The punctures are made at the pointof maximum tenderness, and repeated in differentdirections, if no secretion is found. He states thatthe proce