[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.239.150.22. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 7, 1912

A METHOD OF CONTINUOUS DILATATION OF EXTENSIVE URETHRAL STRICTURE

Author Affiliations

Clinical Professor of Surgery, Indiana University School of Medicine INDIANAPOLIS

JAMA. 1912;LIX(23):2064-2065. doi:10.1001/jama.1912.04270120049013

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

Three decades ago the followers of Otis, who were very numerous, cut every stricture of the anterior urethra. To-day strictures of the pars anterior are rarely cut. This is owing to the teachings of Oberlaender, Wossidlo, Valentine and Kohlmann, and to the consequent increase of knowledge and more careful study of the dilatation treatment. It took years to establish the principle that sounds and dilators are not used to stretch strictures. Such an instrument in the urethra exerts a dynamic influence. According to Oberlaender, it induces retrograde metamorphosis, a reconversion of the fibrillary tissues into the original small-celled deposit, permitting absorption. It has been intimated that the cells of the infiltrate are rendered soluble or diffusible or absorbable by peptonization; and again that absorption is favored by a teasing apart of cells, as in the Bier method of inducing artificial hyperemia. Whatever theory may finally explain the phenomenon, it may

First Page Preview View Large
First page PDF preview
First page PDF preview
×