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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omy. A brief consideration of the anatomy of the partsusually involved will be of value. The matter issimplified when we regard the genito-urinary tractschematically as roughly resembling the letter Y.(Fig. 1.) One of the arnis represents the urinarytract—that is, the kidneys, ureters and bladder—and the other arm represents the genital tract. Thisin turn is divided into two branches, one consistingof the seminal vesicles and ducts, the other consist-ing of the testes and vasa deferentia; these divisions ♦Wyeth, N. Y. State Jour, of Medicine, Aug-,, 1906, p. 3.14.tEdgar, Jour. A. M. A., Vol. XLIX., No. 5, p. 411. Anatomy. 5 meet to form the common ejaculatory duets, whichopen:into the prostatic urethra, one on each side ofthe; median line. At this point the urinary armmeets the genital, and both unite to form the stemof the letter, namely the urethra, or the commonurogenital canal. For present purposes we shallnot consider the urinary arm of the letter. The TESTICLE VAS DEFERENS
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BLADDER PROSTATE URETHRA COMWOM EJACULATORYDUCT 0 MEATUSFig. 1. Schematic representation of the male genitourinary tract. bladder, ureters and kidneys are not exempt fromgonorrheal infection, but this happens compara-tively rarely, and we need but mention it here inpassing. The Ui^ethra.—This portion of the genito-urinarytract is between seven and eight inches long, and isdivided anatomically and pathologically into an an-terior and a posterior portion. The former extendsfrom the meatus urinarius backward to the anterior 6 Gonorrhea in the Male. layer of the triangular ligament; it is about five anda half or six inches long, and its caliber varies from27 to 30 French, except at the meatus, which rangesfrom 21 to 28 French. The posterior urethra extendsfrom the anterior layer of the triangular ligamentbackward to the bladder. Its total length is abouttwo inches, and is divided into two portions, knownas the membranous and the prostatic portions of theposterior urethra. The membranous

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