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Article
August 25, 1883

EXTERNAL MEDIAN PERINÆAL URETHROTOMY, FOR CYSTITIS AND FOR THE REMOVAL OF MORBID GROWTHS FROM THE BLADDER.

JAMA. 1883;I(7):196-197. doi:10.1001/jama.1883.023900700040001a

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Abstract

[Read before the Surgical Section of the American Medical Association, June, 1883.]

The operation is a median incision of the perinæum, commencing about one inch from the anus, and extending about one or one and a half inches towards the scrotum, according to the depth of the perinæum and size of the subject, and terminating in the membranous portion of the urethra, which should be laid open just in front of the bladder to the extent of one-half to three-fourths of an inch. This is done on a grooved staff, while the patient is in the lithotomy position, the bowels having previously been emptied. The operation is simple, almost bloodless, and rapidly and easily executed. The finger may then be admitted to the bladder, and by counter pressure above the pubes (if the patient is profoundly etherized) every part of the viscus may be made to touch the point of

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