Part 9

COMMENTARY ON PLATE 47

THE SURGICAL DISSECTION OF THE PRINCIPAL BLOODVESSELS AND NERVES OF THE ILIAC AND FEMORAL REGIONS.

The femoral triangle. Eligible place for tying the femoral artery. The operations of Scarpa and Hunter. Remarks on the common femoral artery. Ligature of the external iliac artery according to the seat of aneurism.

COMMENTARY ON PLATES 48 & 49

THE RELATIVE ANATOMY OF THE MALE PELVIC ORGANS.

Physiological remarks on the functions of the abdominal muscles. Effects of spinal injuries on the processes of defecation and micturition. Function of the bladder. Its change of form and position in various states. Relation to the peritonaeum. Neck of the bladder. The prostate. Puncturation of the bladder by the rectum. The pudic artery.

COMMENTARY ON PLATES 50 & 51

THE SURGICAL DISSECTION OF THE SUPERFICIAL STRUCTURES OF THE MALE PERINAEUM.

Remarks on the median line. Congenital malformations. Extravasation of urine into the sac of the superficial fascia. Symmetry of the parts. Surgical boundaries of the perinaeum. Median and lateral important parts to be avoided in lithotomy, and the operation for fistula in ano.

COMMENTARY ON PLATES 52 & 53

THE SURGICAL DISSECTION OF THE DEEP STRUCTURES OF THE MALE PERINAEUM; THE LATERAL OPERATION OF LITHOTOMY.

Relative position of the parts at the base of the bladder. Puncture of the bladder through the rectum and of the urethra in the perinaeum. General rules for lithotomy.

COMMENTARY ON PLATES 54, 55, & 56

THE SURGICAL DISSECTION OF THE MALE BLADDER AND URETHRA; LATERAL AND BILATERAL LITHOTOMY COMPARED.

Lines of incision in both operations. Urethral muscles--their analogies and significations. Direction, form, length, structure, &c., of the urethra at different ages. Third lobe of the prostate. Physiological remarks. Trigone vesical. Bas fond of the bladder. Natural form of the prostate at different ages.

COMMENTARY ON PLATES 57 & 58

CONGENITAL AND PATHOLOGICAL DEFORMITIES OF THE PREPUCE AND URETHRA; STRICTURES AND MECHANICAL OBSTRUCTIONS OF THE URETHRA.

General remarks. Congenital phymosis. Gonorrhoeal paraphymosis and phymosis. Effect of circumcision. Protrusion of the glans through an ulcerated opening in the prepuce. Congenital hypospadias. Ulcerated perforations of the urethra. Congenital epispadias. Urethral fistula, stricture, and catheterism. Sacculated urethra. Stricture opposite the bulb and the membranous portion of the urethra. Observations respecting the frequency of stricture in these parts. Calculus at the bulb. Polypus of the urethra. Calculus in its membranous portion. Stricture midway between the meatus and bulb. Old callous stricture, its form, &c. Spasmodic stricture of the urethra by the urethral muscles. Organic stricture. Surgical observations.

COMMENTARY ON PLATES 59 & 60.

THE VARIOUS FORMS AND POSITIONS OF STRICTURES AND OTHER OBSTRUCTIONS OF THE URETHRA; FALSE PASSAGES; ENLARGEMENTS AND DEFORMITIES OF THE PROSTATE.

General remarks. Different forms of the organic stricture. Coexistence of several. Prostatic abscess distorting and constricting the urethra. Perforation of the prostate by catheters. Series of gradual enlargements of the third lobe of the prostate. Distortion of the canal by the enlarged third lobe--by the irregular enlargement of the three lobes--by a nipple-shaped excrescence at the vesical orifice.

COMMENTARY ON PLATES 61 & 62

DEFORMITIES OF THE PROSTATE; DISTORTIONS AND OBSTRUCTIONS OF THE PROSTATIC URETHRA.

Observations on the nature of the prostate--its signification. Cases of prostate and bulb pouched by catheters. Obstructions of the vesical orifice. Sinuous prostatic canal. Distortions of the vesical orifice. Large prostatic calculus. Sacculated prostate. Triple prostatic urethra. Encrusted prostate. Fasciculated bladder. Prostatic sac distinct from the bladder. Practical remarks. Impaction of a large calculus in the prostate. Practical remarks.

COMMENTARY ON PLATES 63 & 64

DEFORMITIES OF THE URINARY BLADDER; THE OPERATIONS OF SOUNDING FOR STONE; OF CATHETERISM AND OF PUNCTURING THE BLADDER ABOVE THE PUBES.

General remarks on the causes of the various deformities, and of the formation of stone. Lithic diathesis--its signification. The sacculated bladder considered in reference to sounding, to catheterism, to puncturation, and to lithotomy. Polypi in the bladder. Dilated ureters. The operation of catheterism. General rules to be followed. Remarks on the operation of puncturing the bladder above the pubes.

COMMENTARY ON PLATES 65 & 66.