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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e anterior portion is alsokept in contact with it for ten to fifteen minutes.The penis is thus ^^massaged^ about a dozen times^slowly and carefully, and the patient then takes holdof the glans and holds it about fifteen minutes.When the patient lets go, it will be found that fullythree-quarters of the syringeful have passed intothe deep urethra, as only a small amount of thefluid escapes when the hold is relaxed. In thismanner, without risk or. pain to the patient, the *In my service at the Beth Israel Hospital, less than2 per cent, of the patients develop epididymitis; at theWest Side German Dispensary, about 1 per cent.; in myoffice, I have not had this or any other complication inthe last 200 cases (acute prostatitis is not considered aoomplioation), treated by this method. Local Treatment : Acute Urethritis. 61 medication is applied to the posterior urethra. Inmy practice the results have been sufficiently grati-f3dng to make this method the method of choice asa routine treatment.
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Fig. 11. Massaging the urethra. Others deposit the solution into the deep urethraby the use of a rubber catheter. Their method isto inject the anterior urethra first, the patientholds the fluid for ten or fifteen minutes, by grasp-ing the lips of the meatus firmly, and the fluid is- 62 Gonorrhea in the Male. theD permitted to escape. A sterilized catheter isnow inserted into the urethra, the eye resting in theposterior portion of the canal. A syringeful of thesolution is then deposited in the canal and the cath-eter withdrawn. Having noted the results of thismethod of treatment, I do not hesitate to say thatthe introduction of the catheter, even for so worthya purpose as the instillation of the fluid into thedeep urethra, is not to be recommended, if for noother reason than the fact that the same end can beattained without its employment. Moreover, epi-didymitis and severe urethro-cystitis are not in-frequent complications of this method of treatment.It goes without saying, of course,

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