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Article
January 1, 1898

SURGERY ONE HUNDRED YEARS AGO.AN HISTORICAL STUDY

JAMA. 1898;XXX(1):29-34. doi:10.1001/jama.1898.72440530029002l
Abstract

XIX.—DISEASES OF THE URINARY AND GENITAL ORGANS AND OF THE RECTUM.  Ischuria was studied with great assiduity by Desault, whose classic essays (Jour. de Chir., i, ii) Richter transferred in part verbatim to his "Elementary Principles." They distinguished: 1. Paralytic retention of the urine, which appeared chiefly in old people, and from that arose the fact that the bladder lost the power of contracting. It might also be the result of venereal excesses, onanism and spinal injuries. External stimulants (Spanish flies, arnica and cold applications on the perineum) were valued, especially the continued use of the catheter to empty the urine. It seemed best to retain flexible catheters, stop up their openings and allow the urine to flow out every three hours; then about every sixth day to take them out and clean them. In case of a long continuance of the trouble it was advised that the patient learn

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