[Three theses on urethral disease]. / Tres tesis sobre estenosis de uretra.

OBJECTIVE: To inform about three doctorate theses on urethral stenosis, presented in the University of Paris and Montpellier by Spanish authors. MATERIAL AND METHODS: Of the Canary Island students who studied medicine in France during the xix century and beginning of the xx century, three stand out for having chosen the same subject for presentation of their doctorate thesis. RESULTS: We briefly analyze their biographies, placing special emphasis on the content of their doctorate thesis. CONCLUSIONS: Urethral stenosis was a very mentioned disease during the period studied due to its high incidence. We distinguish the therapeutic changes contributed in the three theses studied.

Evolución del conocimiento en patología uretral en Valencia desde finales del siglo XIX hasta mediados del siglo XX. Análisis documental histórico / Evolution of knowledge of urethral pathology in Valencia from the end of the XIX century to the middle of XX century. Historical documentary analysis

OBJETIVO: La patología de la uretra hasuido siempre un interesante tema de estudio, apareciendoya en los textos de 600 años a.C., donde sedescriben los dilatadores de madera y metal. En laépoca judeo-musulmana aparecen las primeras uretrotomíasexternas, y Francisco Díaz describe en 1588 eltratamiento de las carnosidades de la verga. ConCiviale y Maisoneuve, entre 1700 y 1800, aparece ladescripción del uretrotomo, y finalmente a mediadosdel siglo XIX, se comienza con la búsqueda de tejidoscapaces de sustituir a la uretra.MÉTODOS: Revisamos todos los artículos de los autoresvalencianos de la época referidos a la patologíauretral, publicados fundamentalmente la RevistaValenciana de Ciencias Médicas. RESULTADOS: Destacamos el uso de las bujías y sondasen el abordaje de la patología estenótica uretral,por varios autores, con sus ventajas e inconvenientes.Asimismo, la descripción de una uretrotomía externapor el Prof. Mollá. Finalmente destacamos el tratamientode una rotura de uretra posterior mediante tunelizaciónpor el Dr. Alfredo Tramoyeres.CONCLUSIONES: A pesar de no ser una patologíacon un alto volumen de publicaciones, ha interesadodesde siempre a los autores. Exponemos todos los tratamientos,técnicas de sondaje y la dilatación como primeraopción

OBJECTIVES: Urethral pathology has ;;always been an interesting topic for study, being present ;;in texts from 600 years B.C, where wood and metallic ;;dilators are described. First external urethrotomies ;;appear in the Jewish-Muslim period, and Francisco Diaz ;;describes in 1588 the treatment of the prostate in his ;;book “Tratamiento de las carnosidades de la verga”. ;;With Civiale and Maisoneuve, between 1700 and ;;1800, appears the description of the urethrotome, and ;;finally in the middle XIX century starts the search for ;;adequate tissues to replace urethra. ;;METHODS: We review all articles on the topic of urethral ;;pathology from authors from Valencia in that period, mainly published in the journal “Revista Valenciana de ;;Ciencias Médicas”. ;;RESULTS: We emphasize the use of bulbs and sounds ;;in the approach to urethral stenosis by several authors, ;;with their advantages and limitations. We also emphasize ;;the description of external urethrotomy by Prof. Molla. ;;Finally, we point out the treatment of a posterior urethra ;;fracture by tunneling reported by Dr. Alfredo ;;Tramoyeres. ;;CONCLUSIONS: Despite not being a topic with a high ;;volume of publications, it has always interested authors. ;;We describe all treatments, and sound insertion and ;;dilation techniques as first option

"Urethrolithotomy": an ingenious approach of the ancients.

A major postoperative complication of the surgical removal of urethral calculi is formation of a fistula. Celsus, a Roman medical author living around the turn of the millennium, discussed a procedure for removing such stones that all but eliminated this complication. Preoperatively, the flaccid skin of the penis is pulled distally and bound in an advanced position with a ligature, as the penis itself is pushed proximally. Incisions are made ventrally into the penis and urethra. The stone can then be removed and the ligature cut, allowing the penile skin to assume its natural position. The effect of this procedure is to avoid 2 overlying incisions, greatly reducing the chance for fistula formation. Today the 2 incisions mentioned by Celsus would be closed with sutures, although in his time the wounds were left open and allowed to heal spontaneously.