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A SIMPLE URETHROTOME OR URETHRAL KNIFE.
1381
complete
manner.
This section
occupies
no
fewer than 168
THE ASSOCIATION OF FELLOWS OF THE ROYAL COLLEGE OF SURGEONS OF The sections in volume five are devoted to the following ENGLAND. subjects: general therapeutics and pharmaceutical chemistry; electro gynæcotherapeutics ; experimental therapeutics ; oE A MEETING of the committee of the Association of logical electro-therapeutics; climatology, balneology, and anomaand was of of Fellows the of anatomy ; epidemiology ; England Surgeons hydrotherapy ; hygiene Royal College lies and monstrosities ; physiology and biology ; histology ; held at 5.30 P.M. on Wednesday, May 22nd, 1895, at and microscopical technology. In this volume the article to 25, Grosvenor-street, W. Dr. Robert Barnes took the which attention is especially directed is the one on general chair in the unavoidable absence of the President, Mr. therapeutics. George Pollock, and there was a large attendance of A feature of great importance in a work of the magnitude members. The minutes of the last meeting of the committee of this annual is the accuracy and fulness of the index ; here were read and confirmed. The following letter was read by the general index at the end of the last volume is full and the Honorary Secretary (Mr. H. Percy Dann) :satisfactory. It is arranged in parallel columns, "general "10, Old Burlington-street, Feb. 27th, 1895. "DEAR SIR,-Cn behalf of Mrs. John Whitaker Hulke, who is too index,""therapeusis," and "authors quoted," and reflects unwell to attend to any correspondence, I beg that you will tender to of the Association of Fellows of the Royal College of great credit on those responsible for it, Dr. D. Braden Kyle the committee Surgeons her most grateful thanks for the kind resolution of sympathy of Philadelphia, and M. Eugene Devereux, A.M., and forwarded to her on the occasion of Mr. Hulke’s death. I need scarcely Madame N. J. Devereux of Paris. After the general index say that such marks of esteem for him are greatly appreciated by Mrs. Hulke. " am, dear Sir, gratefully yours, comes a reference list of journals 1153 in number, and books, "EDWARD W. WILMOT. monographs, theses, &0. to the number of 176. We should "H. Percy Dunn, Esq., 52, Wimpole-street, W." mention that there is also an index to each volume prepared A letter was also read from the Secretary of the Royal College of Surgeons of England acknowledging the receipt of a by Madame N. J. Devereux. copy of the resolution of sympathy upon the death of Mr. Hulke, as President of the College, and conveying the pages.
committee
New Inventions. A SIMPLE URETHROTOME OR URETHRAL KNIFE.
I HAVE long been impressed with the inaccurate way the little operation of meatotomy is performed, and no one can deny the equally inaccurate way in which its more important congener, internal urethrotomy, is done in spite of the multiplicity of contrivances invented. Meatotomy is nearly always underdone or overdone, sometimes merging into hypospadias in the latter case. These and other defects are owing to the absence of really scientifically constructed mechanisms capable of allowing varying adjustments and of making certain defined incisions in regions out of sight and touch. The urethrotome is a blind, expensive, and too often a disastrous tool, transforming the urethra into a zig-zag pocketed route instead of affording a capability of restoring a normal axis and calibre to this canal. Hence, owing to this and to the unpleasant sequelæ which often result, many surgeons now adopt external division
satisfactory expedient. If, however, lay down a rule-viz.,I I conftne incisions to
as a more we
announcement that the resolution would be laid before the Council at its next meeting ; and the Honorary Secretary reported that the resolution had been acknowledged with the thanks of the Council (on March 7th). The Honorary Secretary called attention to the fact that a new President of the Royal College of Surgeons of England had been appointed in succession to Mr. Hulke, and pointed oat that the time had now come for the subcommittee appointed at the last meeting in reference to proposed alterations in the charters and by-laws to begin its work. Thereupon a resolution was passed that the subcommittee should be summoned to meet on the 28th inst. at 101, Harley-street, to determine the points which should be pressed upon the Council of the College by the subcommittee acting as a deputation to the committee of the Council. The Honorary Secretary having reported that there would be five vacancies on the Council of the College to be filled on Thursday, July 4th, the committee proceeded to consider the names of Fellows who should be invited to represent the view of the Association at the election. After some discussion it was unanimously resolved that Mr. A. T. Norton, Mr. Victor Horsley, and Dr. Ward Cousins should be invited to come forward as the candidates of the Association, Mr. A. T. Norton, who was present, accepted with thanks the nomination of the committee, and the Honorary Secretary was instructed to communicate with Mr. Horsley and Dr. Ward Cousins. It was understood that of the three retiring members of the Council of the College-viz., Sir Spencer Wells, Mr. J. Hutchinson, and Mr. Alfred Willett-only Mr. Willett was likely to offer himself for re-election, and it was decided that the committee should recommend the members of the Association to support his candidature. A vote of thanks to Dr. Barnes for presiding terminated
stricture tissue, and to where it is most abundant, and follow up by dilatation by means of the gentle use of tapering sounds "-I think internal division would not be open to the objections laid to its charge. I beg to offer the proceedings. to the notice of the profession in the present instance the instrument herein figured-and which has been excellently made for me by INVERNESS MEDICAL SOCIETY.-At the last. Messrs. Arnold and Sons, London-for the meeting of the Inverness Medical Society the question of performance of meatotomy and the division medical clubs and medical aid societies came up for disof certain penile strictures. It cuts only at cussion. There was a full attendance of members, and the B c. It is blunt at A, and so it slides over the general opinion of those present was that the salaries mucous membrane until the stricture is met, paid to the medical officers of medical clubs and friendly which it cuts with the edge, B c. Hence it societies were quite inadequate to the amount of work percuts flush with the mucous membrane, and formed. The conclusions arrived at by the meeting are that is the chief advantage claimed, the embodied in the following resolutions, which were carried seat and site of the coarctation being first unanimously :-1. That all candidates for admission to any determined by a bougie demi-boule. On friendly society, medical club, or any other medical benefit another occasion 1 hope to otter a modirica- society be charged an examination fee of 2s. 6d. whether tion of this knife, for the division of deep strictures, "passed" or not. Such fee to be paid by the society. fitted with a guard which, by rising any desired extent from 2. No "married members’ " branch to be countenanced on the blade, can ensure any desired incision as regards depth any terms. 3. That 2s. 6d. per head per annum be the and direction. minimum sum paid to the medical officer for attendance on JAMES MACMUNN. JAMES members of these societies. This not to include medieines. -° Finsbury-pavement, E.C. -
complete
manner.
This section
occupies
no
fewer than 168
THE ASSOCIATION OF FELLOWS OF THE ROYAL COLLEGE OF SURGEONS OF The sections in volume five are devoted to the following ENGLAND. subjects: general therapeutics and pharmaceutical chemistry; electro gynæcotherapeutics ; experimental therapeutics ; oE A MEETING of the committee of the Association of logical electro-therapeutics; climatology, balneology, and anomaand was of of Fellows the of anatomy ; epidemiology ; England Surgeons hydrotherapy ; hygiene Royal College lies and monstrosities ; physiology and biology ; histology ; held at 5.30 P.M. on Wednesday, May 22nd, 1895, at and microscopical technology. In this volume the article to 25, Grosvenor-street, W. Dr. Robert Barnes took the which attention is especially directed is the one on general chair in the unavoidable absence of the President, Mr. therapeutics. George Pollock, and there was a large attendance of A feature of great importance in a work of the magnitude members. The minutes of the last meeting of the committee of this annual is the accuracy and fulness of the index ; here were read and confirmed. The following letter was read by the general index at the end of the last volume is full and the Honorary Secretary (Mr. H. Percy Dann) :satisfactory. It is arranged in parallel columns, "general "10, Old Burlington-street, Feb. 27th, 1895. "DEAR SIR,-Cn behalf of Mrs. John Whitaker Hulke, who is too index,""therapeusis," and "authors quoted," and reflects unwell to attend to any correspondence, I beg that you will tender to of the Association of Fellows of the Royal College of great credit on those responsible for it, Dr. D. Braden Kyle the committee Surgeons her most grateful thanks for the kind resolution of sympathy of Philadelphia, and M. Eugene Devereux, A.M., and forwarded to her on the occasion of Mr. Hulke’s death. I need scarcely Madame N. J. Devereux of Paris. After the general index say that such marks of esteem for him are greatly appreciated by Mrs. Hulke. " am, dear Sir, gratefully yours, comes a reference list of journals 1153 in number, and books, "EDWARD W. WILMOT. monographs, theses, &0. to the number of 176. We should "H. Percy Dunn, Esq., 52, Wimpole-street, W." mention that there is also an index to each volume prepared A letter was also read from the Secretary of the Royal College of Surgeons of England acknowledging the receipt of a by Madame N. J. Devereux. copy of the resolution of sympathy upon the death of Mr. Hulke, as President of the College, and conveying the pages.
committee
New Inventions. A SIMPLE URETHROTOME OR URETHRAL KNIFE.
I HAVE long been impressed with the inaccurate way the little operation of meatotomy is performed, and no one can deny the equally inaccurate way in which its more important congener, internal urethrotomy, is done in spite of the multiplicity of contrivances invented. Meatotomy is nearly always underdone or overdone, sometimes merging into hypospadias in the latter case. These and other defects are owing to the absence of really scientifically constructed mechanisms capable of allowing varying adjustments and of making certain defined incisions in regions out of sight and touch. The urethrotome is a blind, expensive, and too often a disastrous tool, transforming the urethra into a zig-zag pocketed route instead of affording a capability of restoring a normal axis and calibre to this canal. Hence, owing to this and to the unpleasant sequelæ which often result, many surgeons now adopt external division
satisfactory expedient. If, however, lay down a rule-viz.,I I conftne incisions to
as a more we
announcement that the resolution would be laid before the Council at its next meeting ; and the Honorary Secretary reported that the resolution had been acknowledged with the thanks of the Council (on March 7th). The Honorary Secretary called attention to the fact that a new President of the Royal College of Surgeons of England had been appointed in succession to Mr. Hulke, and pointed oat that the time had now come for the subcommittee appointed at the last meeting in reference to proposed alterations in the charters and by-laws to begin its work. Thereupon a resolution was passed that the subcommittee should be summoned to meet on the 28th inst. at 101, Harley-street, to determine the points which should be pressed upon the Council of the College by the subcommittee acting as a deputation to the committee of the Council. The Honorary Secretary having reported that there would be five vacancies on the Council of the College to be filled on Thursday, July 4th, the committee proceeded to consider the names of Fellows who should be invited to represent the view of the Association at the election. After some discussion it was unanimously resolved that Mr. A. T. Norton, Mr. Victor Horsley, and Dr. Ward Cousins should be invited to come forward as the candidates of the Association, Mr. A. T. Norton, who was present, accepted with thanks the nomination of the committee, and the Honorary Secretary was instructed to communicate with Mr. Horsley and Dr. Ward Cousins. It was understood that of the three retiring members of the Council of the College-viz., Sir Spencer Wells, Mr. J. Hutchinson, and Mr. Alfred Willett-only Mr. Willett was likely to offer himself for re-election, and it was decided that the committee should recommend the members of the Association to support his candidature. A vote of thanks to Dr. Barnes for presiding terminated
stricture tissue, and to where it is most abundant, and follow up by dilatation by means of the gentle use of tapering sounds "-I think internal division would not be open to the objections laid to its charge. I beg to offer the proceedings. to the notice of the profession in the present instance the instrument herein figured-and which has been excellently made for me by INVERNESS MEDICAL SOCIETY.-At the last. Messrs. Arnold and Sons, London-for the meeting of the Inverness Medical Society the question of performance of meatotomy and the division medical clubs and medical aid societies came up for disof certain penile strictures. It cuts only at cussion. There was a full attendance of members, and the B c. It is blunt at A, and so it slides over the general opinion of those present was that the salaries mucous membrane until the stricture is met, paid to the medical officers of medical clubs and friendly which it cuts with the edge, B c. Hence it societies were quite inadequate to the amount of work percuts flush with the mucous membrane, and formed. The conclusions arrived at by the meeting are that is the chief advantage claimed, the embodied in the following resolutions, which were carried seat and site of the coarctation being first unanimously :-1. That all candidates for admission to any determined by a bougie demi-boule. On friendly society, medical club, or any other medical benefit another occasion 1 hope to otter a modirica- society be charged an examination fee of 2s. 6d. whether tion of this knife, for the division of deep strictures, "passed" or not. Such fee to be paid by the society. fitted with a guard which, by rising any desired extent from 2. No "married members’ " branch to be countenanced on the blade, can ensure any desired incision as regards depth any terms. 3. That 2s. 6d. per head per annum be the and direction. minimum sum paid to the medical officer for attendance on JAMES MACMUNN. JAMES members of these societies. This not to include medieines. -° Finsbury-pavement, E.C. -