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Show -/./// 1],, y,/‘/r mu I'm. 21. LXPLANA'ILIO'N A, Represents the urethra with astrieture. partieulurlr prominent on one side. 1:, '1 he stricture. C, Marks the circular impression on the softbougie, where we find, that on one side there is a. greater depth of the impression, which guides us in a great measure in the application of the caustic. D, The form oi‘the extremity ofthe soft bougie, which in the same way points out to us the necessity of applying the caustic, presented more to one side. E, Represents the appearance which the soft wax bougie takes, when it is gently, but for some time, pressed down upon a small stricture, which has left an Opening more to one side. There is a projecting point at E, to which we adapt the smaller bougie, F; for by making a bulging to the other side, the point of the hougic is thrown towards the opening of the stricture. 1‘16. 5. l have imagined that when the urethra and stricture take the Form ofthe dotted line, it'the caustic be broad, as at A, it may burn the p01: tjon, B, without touching the stricture, and make the beginning of a new passage, like that represented in Plate IV. 1‘1 G. 6. For the reasons assigned above (in explanation of Fig. 5), Him 0. Formed the bougie and caustic into this form. A, The edge of the bougic. B, The caustic, of a. somewhat pyramidal shape. "WU-t 1'15. 7. When the stricture is irregular, and the opening through the stricture not in the middle of the passage, the bougie is apt. to have its point turned back in this way. 1'1 G. 8. This is the figure which the bougie takes when it is small, being \gqsz-d-‘enu . calculated for anarrow stricture. It sinks down like the turns of a cork: screw; while the small point entering, is perhaps flattene d, shcwing the. nature of the stricture. F1 G. 9. This figure represents the caustic bougie in the lower part Of' the urethra. A, The stricture. B, The armed bougie, with the point applied not to the stricture, but in a direction which, if persevered in, will at last open a communication with the rectum, in the direction ol‘the dotted lines, C. This I have known to take place by the surest proot', feeling the heug‘ie in the rectum. __ '_ r...» :t PLATE III. ‘1.- yt‘ul rt':‘:‘~ "-"(_ V 116.1. This platercprcsents :1 stricture in the urethra, "ith a small -alculus behind it, which caused a fatal suppre ssion of urine. A, The part of the urethra above the strict ure, slit up. B, The stricture of the urethra. C, The stone imparted into the s tricture, in r to t..e stop the stream of urine. and placed like avalve, so as Bin \Hfl H" |
