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Cooper's operation very complete and in cases of lin- gual stenosis the one of choice. Dr. Cooper, in closing the discussion, said that one good point about the wound is that if you divide the strictures and they recontract, you will simply have to open at a certain point and turn in the edges. The Abortion of Gonorrhoea and Treatment of Other Urethral and Vesical Diseases by Hydrostatic Irrigations. Dr. Ferdinand C. Valentine, of New York, read a paper with this title. He said that he desired to submit some modifications of his usual method of performing hydrostatic irrigations, and mentioned: 1, the substitution of a cast-iron ring to hold the irrigator; 2, a rubber tube with a lumen buy viagra girls one- fourth inch in diameter, made especially for this ap- paratus, which enables the operator easily to overcome any sphincter vesicae; 3, a stopcock nearly thrice as large as its predecessor, which prevents cramping of the hand when frequent irrigations are required; and 4, the enlargement of the shield's neck, which facili- tates its being slipped over the nozzle when attached to the hose and also attaches it firmly to the stop-cock. The apparatus of the author of which the above are modifications was fully buy viagra girls explained in a paper entitled ' The Technique of Urethral and Intravesical Irriga- tions," which buy viagra girls was published in the Clinical Recorder for February, 1896. In Dr. Valentine's opinion, the difficulty of obtain- ing statistics of purchase viagra men gonorrhoea is very great and its seri- ous nature is far purchase viagra men too lightly viewed by the laity. In those cases which he has observed from the beginning of the muco-serous discharge and in which gonococci were present, every one of the patients buy viagra girls has entirely re- covered within thirty-six hours, and in those in which the discharge had grown distinctly purulent, when not complicated, all the patients have recovered within ten days. Chronic cases which have lasted for months and years recover in varying lengths of time, and purchase viagra men in one case (that of a physician who had persistently treated himself for twelve years) the copious, yellow- ish-green blood streaks discharged grew watery in two days, the gonococci disappeared in five days, and the discharge was entirely gone in purchase viagra men eight days. The following is the method of treatment employed: '.After the discharge ceases, the patient is not treated for a week or ten days, when, no discharge reappear- ing, he is ordered to drink at least twice the quantity of beer to which he has been accustomed. No discharge resulting, after another lapse of ten days he is given a strong irritating injection of nitrate of silver. If the resultant discharge, which lasts from eight to thirty- six hours, contains no gonococci, all restrictions are removed, except that the patient is requested to bring the next seminal emission resulting, coitus condonatus, in the same condom. If purchase viagra men this contains no gonococci and anterior and posterior urethroscopy show a healthy urethra, the patient is discharged. According to statistics compiled by Berthold Gold- berg, of Cologne, of patients treated by systematic in- travesical irrigations, sixty per cent, recovered in less than ten days, thirty per cent, in from two to three weeks, and ten per cent, mischanced. One-half of this ten per cent, was attributable to avoidable causes disobedience of patients, repeated excesses, etc. while the remaining five per cent, distinctly resisted treatment. Goldberg's experience and that of others lead him to conclude that carefully systematized irri- gations with potassium permanganate (1) are indicated when gonococci are present; (2) are contraindicated in acute inflammatory conditions; (3) permanently removed the gonococci in ninety-five per cent, of far more than half the cases within one to two weeks, in any stage of the disease; (4) are reliable as a means of aborting gonorrhoea; (5) purchase viagra men the successes are due to coincident mechanical and chemical effects. Dr. Valentine agreed with Goldberg in all but one of his conclusions, viz., the second one, for he thought that the pain of an acute local inflammatory condition could easily and quickly be purchase viagra men overcome by an injection of cocaine. Although the author follows Oberlaender's methods of treating gonorrhoea, he never fails to add irriga- tions, as this combination invariably yields the most satisfactory results. If this method is correctly fol- lowed (1) the disease is cut short; (2) pain is stopped; (3) no complications ensue; (4) no hand in- jections are used, with their unreliability; (5) no drugs are given by the stomach purchase viagra men ; and (6) the patient cannot peddle prescriptions. In referring to a number of advantages which the author claims for his method, he mentioned as the most important the fact that a buy viagra girls larger proportion of complete cures have purchase viagra men resulted from it than from any other method with which he is acquainted. Dr. Valentine concluded his paper by referring to the relation various diseases bore to the use of his apparatus, and stated his experiences as follows: Catheter fever. He has never seen a case buy viagra girls after use of the apparatus. Cowperitis, folliculitis, and seminal vesiculitis do not contraindicate irrigations. Cystitis and posterior urethritis. Irrigations are exceedingly well borne and yield excellent results. Epididymitis and orchitis. If the case is one-sided strap the testicle and irrigate at once. If both tes- ticles are involved use Wossidlo's method, which con- sists in applying the galvanic current, two to eight milliamperes, for from three to fifteen minutes daily, after which apply suspensory bandage and irrigate at once. Neurasthenia. Irrigations render surprising results. Prostatitis does not contraindicate careful irriga- tions of the anterior urethra. Retention. Irrigations should be used.