Case 33: Impermeable Deep Stricture.
—A man, 38 years of age, was referred to me by Dr. M. W. Thompson, of Chicago. Had a history of successive attacks of gonorrhea extending over a period of years. Symptoms of urinary obstruction had existed for some four or five years, and had increased until the stricture had become surgically impermeable. I performed perineal section without a guide, found the urethra extremely hard and nodular from the perineo-scrotal junction well down into the membranous portion. The stricture practically involved the entire extent of the latter. Considering the rather complicated state of affairs the bladder was reached with considerable rapidity, the operation requiring about eight minutes after the opening of the urethra. A small fibrous tumor was found in the right lateral wall of the urethra in the midst of the stricture tissue. This was about the size of a fat pea and was