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I threw myself upon it, and devoured it at once, rapidly moving my head up and down, and titillating the orifice of the urethra with my tongue. I quickly drove him half mad with excitement. My mouth was full of saliva.
There are a few cases on record in which the bladder has been ruptured by distention from the accumulation of urine, but the accident is a rare one, the urethra generally giving way first. Coats reports two cases of uncomplicated rupture of the bladder. In neither case was a history of injury obtainable.
In our plant-eating ancestors this rudimentary organ was much larger and had a useful function. Finally, we have important appendages of the alimentary tube in the bladder and urethra, which belong to the alimentary system. These urinary organs, acting as reservoir and duct for the urine excreted by the kidneys, originate from the innermost part of the allantoic pedicle.
There the abdominal wall on either side of the middle line becomes thin and distended to form a pouch, the scrotal sac, into which the testis passes, still remaining attached to the peritoneum which lines the pouch, while the distal end of the vas deferens retains its original connexion with the urethra.
We lay for a short time lost to every thing, until mamma, remembering the risk we ran of discovery, begged me to withdraw, and let her go away. She rose and threw herself into my arms, glueing her lips to mine with a most loving kiss. Then stooping, she gave my now pendant prick a most delicious suck, making her tongue play into and around the mouth of the urethra.
The glans was riddled with holes, and numerous fistulae existed on the inferior surface of the urethra, the meatus being impermeable. So great was the weight and hypertrophy that amputation was necessary.
In relation to the meatus and canal of the urethra, in either of which situations the swelling and induration may lead to narrowing of the urethra, so that the urine is passed with pain and difficulty and in a minute stream; stricture results only in the exceptional cases in which the chancre has ulcerated and caused destruction of tissue.
If it cannot be so moved, it may be cut down upon and removed with safety; but when one or more stones are within the bladder, we must attempt lithotomy, after having fully satisfied ourselves of their existence there by the introduction of the sound; to do which it must be remembered that the urethra of the dog in passing the bladder proceeds nearly in a direct line backwards, and then, making an acute angle, it passes again forwards to the bladder.
The amount of force sometimes exerted in coitus is evidenced by the cases, occurring from time to time, in which intercourse takes place by the urethra.
Intestinal fistulæ are sometimes met with in the abdominal wall after strangulated hernia, operations for appendicitis, tuberculous peritonitis, and other conditions. In the perineum, fistulæ frequently complicate stricture of the urethra. The treatment of these various forms of fistula will be described in the sections dealing with the regions in which they occur.
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