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Insanity and Death from Masturbation

1842; Massachusetts Medical Society; Volume: 26; Issue: 18 Linguagem: Inglês

10.1056/nejm184206080261804

2331-4710

Alfred Hitchcock,

Grief, Bereavement, and Mental Health

rineum, and the patient now passes a full stream of urine, not only when temperate, but during his customary debauches.The largest catheter will also pass freely into the bladder.Remarks.-This case is to me quite inexplicable.First, the reader will observe, the stricture was permanent, the patient for years having passed the smallest possible stream of urine, often guttatim for weeks to- gether.This, with the severe depletion and anti-spasmodic treatment he underwent, no less than 500 drops of laudanum in five hours, together with the mur.tincture of iron, a remedy of established efficacy, forbids the idea of its being spasmodic in any degree.Secondly, the point of the catheter being exposed, and then the incision being made directly from it to the vesical portion of the urethra, and followed by a copious gush of urine, proves that the stricture was fairly incised.Why, then, did not the urine continue to pass through the perineum as the more ready outlet?and why did no traumatic stricture follow, though no ca- theter was introduced ?I confess I am unable to answer.Some of your readers may.I publish the case, because I think we are all too much in the habit of setting forth our smooth cases, to the exclusion of such as may posibly show forth our own dulness.