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A Century of Surgeons on Gonorrhoea, and on Strictures of the Urethra

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Whittaker
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Open LibraryOL23519689M
OCLC/WorldCa14832530

Title(s): A century of surgeons on gonorrhoea, and on strictures of the urethra. Country of Publication: England Publisher: London, Whittaker, course, is that it takes 20 years for a stricture to develop after a single episode of untreated gonorrhoea.

In the developed world, gonococcal strictures are rare and most strictures today are either iatrogenic or idiopathic [9,10]. Iatrogenic causes include urethral catheterization, cystoscopy, TURP and surgery for hypospadias.

Idiopathic. Urethroplasty surgery stands on the shoulders of pioneering giants, such as Denis Browne, Hamilton Russel, Begnt Johanson, and Charlie Devine. For the second half of the 20th century, the urethral reconstruction pendulum has swung from mainly two-stage urethroplasty, then to grafts, then onto fasciocutaneous flaps, and currently, has swung back Cited by: 5.

THE HISTORY OF URETHRAL STRICTURE. By H. ATTWATER, F.R.C.S. BUBCIEON, ALL SAINTS' HORPITAX HOMER~C descriptions of the Trojan wars, written about the ninth century B.u., and others of later date would naturally be influenced both by traditional legend and by contemporary is related that Heracles, or Hercules, amid other adventures, slew the Hydra, a pleasant.

past sexually transmitted infections such as gonorrhoea; This condition can easily be diagnosed by a few simple tests such as uroflowmetry and retrograde urethrogram. Symptoms of Stricture Urethra: Urethral Stricture can cause numerous symptoms, and the most obvious sign is a weakened urinary system, which can vary from mild to severe.

stricture location, the bulbar urethra was the most frequent site for idiopathic (%), catheter-related (%), instrumentation-related (%), and trauma-re-lated (%) strictures. The bulbar urethra was involved in only % and % of patients with failed hypospadias repair andLS,tion,wefoundthat55%of our.

Stricture of urethra from suppressed gonorrhoea;itching burning on inner side of prepuce;painful and scanty emission of slimy and sanguinolent urine, which deposits a purulent-looking sediment. Silicea [Sil]. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture.

An injury or tumour located near the urethra. Urethral stricture refers to narrowing of the urethra for any other reason, whether or not it actually impacts the flow of urine out of the bladder. Urethral stricture caused by injury, instrumentation, infection and some non-inflammatory causes of urethritis or by the formation of scar tissue.

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Description A Century of Surgeons on Gonorrhoea, and on Strictures of the Urethra EPUB

Introduction. Urethral strictures are an abnormal narrowing of the urethra. The origins of this fibrosis may be due to intrinsic conditions but commonly occur in response to damage or represent a scarring of the vascular corpus spongiosum leading to are varying degrees of spongiofibrosis but obstruction of the urethra can cause infection, bladder calculi.

The rest of the urethra, both distal and proximal, is essentially normal. These strictures are amenable to excision and primary anastomosis. Inflammatory strictures may be due to infective (e.g. Gonorrhoea) or non-infective causes (e.g. Blalanitis Xerotica Obliterans).

• Urethral stricture is the commonest cause of urinary retention in tropical Africa. • Urethral stricture can be seen in any part of the urethra 5.

Anatomy of the Urethra • The urethra is a vessel transporting urine from the bladder to external environment during micturition. Best Nursing Urethral Stricture Treatment At Home – Care A urethral stricture is a problem which involves scarring that shrinks the tube which carries urine out from the body.

Details A Century of Surgeons on Gonorrhoea, and on Strictures of the Urethra EPUB

This stricture blocks the flow of urine from the bladder, it can cause a lot of medical issues like inflammation, infection or injury. This realignment of the urethra decreases the risk of urethral stricture formation by about 30% and makes surgery for repair of the stricture, if it occurs, easier.

Success rates with repairs of urethral strictures from pelvic fractures is about 90%% with excision of the stricture and bringing the ends of the urethra together (reapproximation). Download PDF: Sorry, we are unable to provide the full text but you may find it at the following location(s): (external link) http.

(Gonorrhoea: caused inflammatory strictures that affected Henry IV and Napolean) Fessenden Otis, a professor of genito-urinary diseases at the New York College of Physicians and Surgeons, described the use of the “urethra-meter” to determine the appropriate size of sound and bougie for urethral dilation.

Oral Mucosa Grafts for. The treatment of gonorrhea dates back to the 16 th century when mercury was injected into the urethra of crewmen suffering from the infection. In the 18 th century, quantity and quality of pus from urethra determined the choice of treatment. Those with mild symptoms received bland fluids while extreme measures such as bloodletting and urethral.

Urinalysis: This test is conducted to find traces of infection, blood or cancer in the urine. Ultra sound scan: Ultra sound scan is conducted to understand the length of the stricture.

Pelvic ultra sound: This test is conducted to find the presence of urine in the bladder after urination. Cystoscopy: This is a procedure in which the bladder and the urethra are examined using a tube- like. In cases of penile urethra hypospadias surgery idiopathic stricture, urethral catheterization and lichen sclerosus were the main causes, while in the bulbar urethra idiopathic strictures were most.

Ureteral stricture 1. PRESENTED BY: SONIA DAGAR 2. A urethral stricture is characterized by a narrowing of the urethral lumen, causing functional obstruction. Most common cause of urethral stricture is ureteropelvic junction (UPJ) obstruction, which is characterized by a congenital or acquired narrowing at the level of UPJ.

The urethra is usually intact but urinary extravasation may occur, urinary retention is almost inevitable and a very dense full thickness stricture and obliteration of the urethra is likely to occur.

Download: Download high-res image (KB) Download: Download full-size image; Figure 4. Retrograde urethrograms. Urethral stricture refers to narrowing of urethra for any other reason, whether or not it actually impacts the flow of urine out of the bladder.

Urethral stricture caused by injury, instrumentation, infection and some non inflammatory causes of urethritis or by formation of scar tissue. Prostatic cases are so often referred to the surgeon because the doctor has failed to sufficiently relieve the patient with his remedies, and in cases of gonorrhoea they resort to injections and other drastic measures rather than depend on their potentized remedy.

Surgery today is not so uniformly bad as it was in the day when the whole gland was removed. For a safe and effective urethral stricture surgery, consult the certified and experienced urologist Dr.

Niren Rao in South Delhi. Causes of urethral stricture In males during the urination process, the urine is carried out by the urethra from the bladder via the penis and is excreted from the urethral meatus.

Urethral stricture is defined as narrowing of the urethra caused by scarring of the urethral epithelium and the peri-urethral spongy tissue.

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Although it is one of the oldest known urological diseases, it constitutes a significant workload for urologists globally with attendant high morbidity (1, 2). Urologists also describe the urethra as being divided into two main sections: Posterior (rear) urethra (regions 1 - 2) Anterior (front) section (regions 3 - 6) WHAT IS URETHRAL STRICTURE Urethral stricture is a narrowing of the lumen urethra(the tube conducting urine from the bladder to the exterior) caused by injury, instrumentation or.

The ever expanding medical field has been obsessed with life threatening, dramatic preventions and cutting edge technology to provide those additional years. For decades, the advancement in medicine meant cardiology, heart and neurology and neurosuregry-the brain.

While the advancement was holistic, little was done to explain and create awareness about diseases of Genitourinary system. • Infections like Gonorrhoea • Non-infectious urethral inflammation curvature treatment penile curvature treatment in delhi penile enlargement surgery in delhi undescended testis treatment urethra and penile surgery urethral stricture hospital delhi urethroplasty surgeons.

Consultant Urologist and Andrologist. Book an Appointment. A stricture occurs when a part of the urethra becomes narrowed. Any section of the urethra may be affected.

There is usually some scar tissue around the affected part of the urethra that causes the narrowing. The length of strictures vary from less than 1 cm to the full length of the urethra.

Five months after this period he had no return of difficulty in evacuating his urine. B e H d, born in the ifland of Cape de Verd, aged 33 years, feaman, was admitted J 4, with Stricture of the urethra, and fyphilis.

The Stricture was fit- uate about fix inches from the extremity of the glans. In some cases, widening of the stricture with special dilators or cutting the stricture with lasers may be required. Surgery is another option. An open urethroplasty is an option for longer, more severe strictures.

This procedure involves removing affected tissue and reconstructing the urethra. Results vary based on stricture size.at the membranous urethra) for a quarter of an hour. Dr. Bumstead, in his excellent text-book (Venereal Diseases, Phila.,p. ), accepts the frequent occurrence ofspasmodic urethral stricture, and says of it: “A spasmodic stricture is characterized by its short duration.

It appears suddenly in persons ofdelicatehabit, * * * andas.Written by a panel of experts in the field, Urethral Reconstructive Surgery offers the anatomy of the urethra and the aspects of wound healing and applicable plastic surgical techniques.

A practical and comprehensive review, Dr. Brandes and his contributors focus on the methods for evaluating the extent and degree of urethral stricture and the.