The Dressing and Bandage.
The Dressing is made with Pledgets and Bolsters laid upon the Scrotum; and the proper Bandage is the Suspensor of the Scrotum, which hath four Heads or Ends, of which the upper serve as a Cincture or Girdle; and the lower passing between the Thighs, and fasten'd behind to the Cincture.
There is also another Bandage of the Scrotum, having in like manner four Heads, of which the upper constitute the Cincture; but it is slit at the bottom, and hath no Seams; the lower Heads crossing one another, to pass between the Thighs, and to be join'd to the Cincture. Both these sorts of Bandages have a Hole to give Passage to the Yard.
C H A P. XV.
Of the Operation of the Stone in the Ureter.
If the Stone be stopt at the Sphincter of the Bladder, it ought to be thrust back with a Probe: If it stick at the end of the Glans, it may be press'd to let it out; and if it cannot come forth, a small Incision may be made in the opening of the Glans on its side.
But if the Stone be remote from the Glans, it is requisite to make an Incision into the Ureter; to which purpose, the Surgeon having caus'd the Skin to be drawn upward, holds the Yard between two Fingers, making a Longitudinal Incision on its side upon the Stone, which must be prest between the Fingers to cause it to fly out; or else it may be taken out with an Extractor. Then if the Incision were very small, the Skin needs only to be let go, and it will heal of it self; but if it were large, a small Leaden Pipe is to be put into the Ureter, lest it shou'd be altogether clos'd up by the Scar: It is also expedient to anoint the Pipe with some Desiccative Medicine, and to dress the Wound with Balsam. Afterward a little Linnen-Bag or Case is to be made, in which the Yard is to be put, to keep on the Dressing; but it must be pierc'd at the end, for the convenience of making Water, having two Bands at the other end, which are ty'd round about the Waste.