Identifier: 04801644.5817.emory.edu
Title: The Pathology and treatment of venereal diseases (electronic resource): including the results of recent investigations upon the subject
Year: 1866 (1860s)
Authors: Bumstead, Freeman J. (Freeman Josiah), 1826-1879
Subjects: Sexually transmitted diseases Sexually transmitted diseases Sexually Transmitted Diseases Venereology
Publisher: Philadelphia : Henry C. Lea
Contributing Library: Emory University, Woodruff Health Sciences Center Library
Digitizing Sponsor: Emory University, Woodruff Health Sciences Center Library

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venience. CharriSres urethro-tome, attached to a con-ducting bougie, usefulwhen the passage ismuch contracted, andwhich may be detachedand the point/? screwedon. Lancettedcatheter. (Af-ter Gross.) PERINEAL SECTION. The external division of stricture by an incision through theperineum had,* for several centuries, been known as the bouton- PERINEAL SECTION. 311 niere operation, or perineal section, when, in 1849, Mr. JamesSyme, of Edinburgh, published a work1 in which he advocated itsemployment exclusively in permeable strictures, through which astaff could be passed to serve as a guide, and recommended itsadoption in a large — and, in the opinion of the mass of the pro-fession, an unjustifiable—proportion of urethral contractions. Sincethis time, perineal section upon a guide has been called Symesoperation, or perineal division, while the names boutonniereoperation, perineal section, and external urethrotomy, havebeen restricted to the same operation without a guide. While Fig. 32.
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Fig. 33.(After Phillips.) acknowledging the credit due to Mr. Syme for having carefullystudied the various steps of this operation, and for the introductionof certain improvements in the manner of its performance, it is yetdifficult to explain on what grounds this innovation in name hasbeen made; for, should Civiales statement be called in question,that a staff was employed by Tolet two centuries ago, it is certainthat one was frequently used by many operators, both abroad andin this country, long before the appearance of Mr. Symes essay; » Stricture of the Urethra, Edin., 1849, p. 58. 312 STRICTURE OF THE URETHRA. and, waiving the question of priority, the difference in the twomethods is not sufficient to warrant the proposed distinction, whichwill be ignored in the present volume as it has been by many otherwriters.1 Perineal section was adopted in America in the early part of thepresent century, and, for the last forty or fifty years, has been thefavorite mode of treatment for adv

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