Diseases of the Urethra and Penis by E. D'Arcy McCrea

By E. D'Arcy McCrea

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Urethral canal rather than the meatal pit of a glandular —These small canals open into the hypospadias. meatus or on to the glans penis and commonly terminate blindly proximally ; they have been studied by Churchman. Certain of them may represent vestiges of the canals described above (Fig. 36), but the majority do not appear to fall into this category. They are probably the result of developmental defects of the urethral plate, and are often multiple and associated with glandular hypospadias. d.

It should be as thick as possible without endangering the urethra, and the incisions on the glans penis should be just of sufficient depth to enable suturing to be performed satisfactorily. The sutures are of fine silk ; those within the urethra separate about the fifteenth day. The operation can be used for the lesser degrees of penile hypospadias as well as for glandular defects ; it avoids, like that of 56 DISEASES OF THE URETHRA AND PENIS Ombrédanne, the necessity of making a union between the urethra and the new canal.

U. , 1902, 13, 36, 74. , Ann. Mal. des Org. , 1908, 26, 1. , Thèse de Paris, 1905, No. 349. GIRARD, Jour. , 1919, 7, 67. HARRIS, R. , Philadelphia Med. , 1898, 1, 71. , Lancet, 1865, 2, 124. , The Principles and Practice of Urology, 1935 (Appendix). HINMAN, F . , and KUTZMANN, A. , 1925, 14, 7 1 . JOHNSON, F . , 1923, 10, 295. London. KAUFMANN, C , " Verletzungen und Krankheiten der männlich Harnrohre und des Penis " , Deuts. Chir. (Billroth and Lueche), 1886. Stuttgart. , Thèse de Paris, 1912, No.

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