The Treatment of Impassable Urethral Stricture

He lays down the dictum that the worst case of urethral stricture can be treated tout d'un coup, without any painful preliminary treatment, without any perineal incision. He emphasises Syme's well-known axiom that, if urine comes out from a bladder through a urethra, a surgeon should be able to pass an instrument through that urethra into the bladder. He goes even further, and affirms that, in all cases of urethral stricture, whether urine issues or does not issue from the external meatus during an act of micturition, a surgeon with skill and patience should be able to pass an instrument