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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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ency of admin-istration, as above recommended, it will be foundthat the posterior involvment, when it does occur,rarely if ever brings with it the painful and alarm-ing symptoms that were so commonly seen underthe old methods of treatment; it therefore goeswithout saying that the involvment of the deepurethra does not necessarily contra-indicate the-further use of local measures. On the contrary,most admirable and satisfactory results follow theproper use of local treatment in acute posteriorurethritis. Local Treatment : Acute Urethritis. 55 Undoubtedly^ the most popular method of localtreatment consists of irrigations with large quanti-ties of hot antiseptic fluid. These irrigations maybe administered in three ways : (1) By hydrostaticpressure; (2) by the large syringe (Fig. 7); or (3)by means of a catheter ( Fig. 8). In all of thesemethods the object sought for is the introduction ofa large quantity of warm fluid into the bladder,which is then passed out by the patient per urethram.
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Fig. 7. Irrigation by the large syringe. When the Janet method and the large syringe areused, the entire urethra is irrigated twice—oncewhen the fluid enters the bladder, and again whenit is passed by the patient. When the catheter isused the anterior urethra does not receive the bene-fit of contact with the fluid as it enters the bladder,and the deep urethra is affected only when thecatheter is withdrawn from the bladder until its 56 Gonorrhea in the Male. eye rests in the deep portion of the urethral canal.B)^ this method the bladder can be filled and emptiedbut once, unless the catheter is again inserted. As a result of observation and experience I donot, as a rule, irrigate the urethra in acute posteriorurethritis, but when I do, I discard altogether theJanet method of irrigation in favor of the largeCharlton syringe (Fig. 7). Whatever advantages

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