The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; translated by Gardner W. Allen.

  • Ultzmann, Robert, 1842-1889.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; translated by Gardner W. Allen. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    etc.), yet under these circumstances spasmus sphincteris vesicEe, as already mentioned, is much more frequently found. Accordingly, by spasmus detrusorum we understand a frequent, although generally painless, impulse to urinate. This impulse to urinate occurs, for the most part, only by day, that is, when physical or mental activity begins. In the night there is usually not the least need felt to urinate, so long as the patients quietly sleep; when, however, they pass a sleepless night the vesical tenesmus is all the stronger. The desire comes sometimes hourly, again every 10 or 15 minutes, and is sometimes so violent that when the patients do not hasten to the closet the urine flows into their clothes against their will. This state of things is consequently just the opposite to that described in the case of S2:)asmus sphincteris vesicce. The urine is usually clear and of a pale yel- low color. It has a low specific gravity and a neutral or faintly acid reaction. There is simul- taneous polyuria (urina spastica, nervosa). Not infrequently the urine is turbid and alkaline without there being any sign of catarrh of the bladder, and without any alkali, or mineral water containing sucli, liaving been taken in- ternally. In such cases, since an alkaline and therefore abnormal urine is secreted without evident cause in tlie kidneys, we must as-