File:The neuroses of the genito-urinary system in the male with sterility and impotence (1902) (14597899760).jpg

Identifier: neurosesofgenit1902ultz (find matches)
Title: The neuroses of the genito-urinary system in the male with sterility and impotence
Year: 1902 (1900s)
Authors: Ultzmann, Robert, 1842-1889 Allen, Gardner Weld, 1856-1944. Nervous impotence Ultzmann, Robert, 1842-1889. Ueber Potentia generandi und Potentia coeundi
Subjects: Genital Diseases, Male Infertility, Male Impotence
Publisher: Philadelphia : F.A. Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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^ in the catheter. •^ U9^ for the purpose, small suppositories oftannin and cacao-butter,or of nitrate of silverand cacao-butter (tannin0.1 gramme, or nitrateof silver 0.01 gramme, ineach suppository). The patient lying onhis back,the porte-remedeis passed, under controlof the left forefinger,which is in the rectum ;the obturator is then with-drawn and the suppo-sitory ■ pushed in. Bymeans of this instrumentit is possible to deposita given amount of aremedy in the prostaticurethra. If we wish tocauterize the caput gallin-aginis, it is done in thesame way, using a sup-pository of double thestrength of nitrate of sil-ver (i.e., 0.02 gramme).After the suppository has been deposited in the pars prostatica, the
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Fig. 3.—DitteVs Porte-remede. in the Male. 101 patient lies quiet a quarter of an hour. Duringthis time the suppository has melted and hasdone its work. It is then best for the patient togo to bed. If, for the purpose of cauterizing, thestronger nitrate of silver suppositories have beenused, the patient feels, some minutes later, asevere vesical tenesmus and a stinging pain atthe neck of the bladder. A few hours later —sometimes, however, not until the next day —bleeding from the urethra ensues, sometimesslight, sometimes profuse. The urethra is verysensitive and micturition painful. The patientscrave the horizontal position in bed. If theheemorrhage be profuse, cold compresses mustbe applied to the perinseum. After 2 or 3 daysthe pain and desire to urinate diminish, and thepatient finds himself well, with the exception ofa slight urethral discharge which vanishes in aday or two. I have observed retention of urine,profuse haemorrhage, and other unpleasant symp-toms after cauteri

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