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Stricture of the Urethra, Its Complications and Effects
Stricture of the Urethra Its Complications and Effects Author:Robert Wade General Books publication date: 2009 Original publication date: 1860 Original Publisher: Churchill Subjects: Medical / Urology Notes: This is a black and white OCR reprint of the original. It has no illustrations and there may be typos or missing text. When you buy the General Books edition of this book you get free trial access to Million-... more »Books.com where you can select from more than a million books for free. Excerpt: CHAPTER IV. SYMPTOMS OF STRICTURE. As might be expected, the early signs of stricture are seldom sufficiently marked to attract attention; and the disease has commonly made considerable progress before it is discovered. A slight contraction of the urinary canal, unless in an irritable urethra, will cause but little impediment to the discharge of urine; and a stricture is not often suspected until some difficulty in micturition is experienced. The first symptom that will probably be noticed by a person affected with stricture is, that he experiences some little difficulty in starting the urine ; and that, instead of being passed, as formerly, immediately on the contraction of the bladder, more or less effort will be required at the commencement of micturition. He will also find that his urine is not voided in so full a stream as formerly -- that instead of being round it is somewhat flattened, the act of micturition occupying a longer time; he will probably next observe the escape of a few drops of urine after that act has been apparently completed. This may be caused from that part of the urethra immediatelv behind the obstruction becoming dilated, and forming a reservoir for the collection of urine, which is not affected by the contraction of the bladder, but gradually trickles away afterwards through the stricture. The same trickling occurs more frequently when no dilatation exists behind the obstruction, from the greater difficulty with which the last few drops of urine are urged forwards through the contracted passage than is the case wi...« less