Identifier: canadianjournalo05torouoft (find matches)
Title: The Canadian journal of medicine and surgery
Year: 1897 (1890s)
Authors:
Subjects: Medicine Surgery
Publisher: Toronto
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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omitted. I have thought well to substitute a twelve-inchignition tube for glasses in making this test. They are more con-venient and cleanly than glasses, and present greater facility forsuch chemical and microscopic examination as are desirable in •Valentine, Recurrent Gonorrhcea, Atlanta Medical and Surgical Journal,September, 1898. t Valentine, The Proofs of Cure in Oonorrhwa, Clinical Rerorder, April,1898. MEDICINE AND SURGERY. 33 using separate specimens. Moreover, the smaller but equal columnsof urine in the tubes are better than those in glasses for macroscopicexamination and comparison. The soft howiie-ci-boule. In many cases presenting indubitableevidence of stricture, a large-sized metal sound will readily glidethrough the urethra, revealing no obstruction whatever, even tothe best educated tact. A soft bougie-a-boule, with a sharp shoul-der at the neck, even if several sizes smaller than the metal sound,will catch as it is drawn out of the urethra, and reveal not only the
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Fig. 1—Soft bouprie-S,-boiile. location, but also the breadth and character of the stricture. Thisevidences the impossibility, in the majority of cases, of diagnosinga stricture without this little instrument. The more it is used themore the surgeon is pleased with its softness, which he seeks toenhance by immersing it before use in hot water, until it is assupple as a bit of string. Sounds. A very large chapter might well be written upon theconditions that demand the various kinds of sounds. Indeed, thebusy specialist finds scarcely a week goes by without his being Fig. 2—Conical hard rubber sound. obhged to use at least once each shape of sounds to which thenames of various authors are attached. In the more moderngenito-urinary practice these have largely been substituted bydilators, which, however, are rather too expensive for the averagegeneral practitioner. They are described in another paper.* The general practitioner, who must ever treat the largest num-ber of chronic ureth

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