The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson

CHAP. XXXI. Of the Bladder.

THe bladder is of the same substance that the ureters, that is, nervous, that * 1.1 so it may bee the more easily dilated.

It is of a large proportion, in some bigger in some lesse, according to the difference of age, and habite of body. It is of a round figure and as * 1.2 it were Pyramidall.

It is composed of two coats, one proper which is very thicke and strong com∣posed * 1.3 of the three sorts of fibers, that is, in the inner side of the direct; without of the transverse; and in the midst of the oblique.

The other common Coat comming from the Peritonaum hath veines and arteryes on each side one, from the Hypogastrick vessels above the holy-bone, also it hath nerves on each side from the sixt conjugation mixt with the nerves of the holy-bone.

For these nerves descend from the braine even to the end of the holy-bone.

It is but one and that scituate in men in the lower belly upon the light Cut and below the share bone, but in women between the wombe and that bone, to which it cleaves with its membranous ligaments, as it doth to the yard by its neck, and to

the right gut by its common coate and proper vessels. It is of a cold and dry temper. * 1.4

The use and action thereof is by the fibers continually to draw the urine, and containe it as long as neede requires, and then to expell it by the necke, partly by compression either of it selfe, or rather of the muscles of the Epigastrium and Midriffe, because this motion, seeing it is voluntary cannot be performed unlesse by a muscle which the bladder wants; partly also by the dilatation and relaxation of the sphincter muscle composed of transverse fibers, like the sphincter of the fundament, after the same manner to shut up the orifice of the bladder, that the * 1.5 urine flow not out against our will. But the bladder as it fils is dilated, but as it is emptied, it is contracted like a purse. You may easily observe this Muscle in a Sowes bladder, it is stretched from the orifice of the bladder and beginning of the urinarye passage even to the privities even in women; but in men it is terminated in the Perinaeum, as soone as it hath left the right Gut.

Besides, this muscle is thus farre stretched forth, that the urine by its compression should be wholy pressed out of the bladder, which by too long stay would by its a∣crimony doe some harme. This is the common opinion of Anatomists concer∣ning the Sphincter of the bladder, which never-the-lesse Fallopius allowes not of. For (saith hee) if this muscle should bee scituate beneath the glandulous bodyes, the seed in copulation could never be cast forth without some small quantity of urine. Wherefore he thinkes that this muscle is scituate above the Prostats, and that it is nothing els but the beginning of the necke of the bladder, which becoms more fleshy whilest it is woven with transverse fibers.

[illustration]

The eleventh figure of the bladder and yarde.

AB, 1, 2, 3, 4, 5, 7, 9. The two bodies which make the yard.

CC 2, 3. The place where these two bodies do first arise.

D 1, 2, 4, 5, 7, 9. The nut of the yard called glans penis.

EE 4, 5. The fungous and redde substance of the bodies of the yard.

F 4, 5. The mutuall con∣nexion of the bodyes of the yard, and the nervous outward sub∣stance of the same, compassing round a∣bout the former fun∣gous substance.

G 1, 2, 3, 4, 5, 7, 9. The pas∣sage of the urine, or common pipe running under the yarde all a∣long his length.

H. I. 1. 2. The first paire of Muscles of the yarde, which in the first figure doe yet grow to it, but in the second they hang from their originall. K. L. 1. 2. The second paire of Muscles of the yard, in the first figure gro∣wing, in the second hanging from their insertion. M 1. 2. The sphincter of the right gut. N 3, 7, 8, 9. The round sphincter Muscle of the bladder. O O, A Membrane

[illustration]

which is over the holes of the share bone. P 2. Arounde Ligament from the meeting of the share bones unto the head of the thgh. Q. 3. 7. 8. The body of the bladder. R R, 3, 7. The Prostatae, into which seede when it is perfectly laboured, is led. SS, 3, 8. Portions of the ureters. T T* 3, Portions of the vessels which leade downe the seed. V V, 7, 8, The umbilicall arteries. X 7, 8, The ligament of the bladder cald Vrachus. Y, 7, 8. The navel or umbilicus. Z, 7, 8. The umbilicall veine. aa 7, The veine and artery of the yard. b 5. The artery distributed through the body of the yard.

For the necke of the bladder it differs nothing in substance, composure, number, and * 1.6 temper from the bladder, but onely in quantity, which is neither so large, nor round in figure, but somwhat long together with the yarde representing the shape of the letter S. It is placed in men at the end of the right Gut and Perinaeum, rising upwards even to the roots of the yarde, and with it bending it self downwards; in weomen it is short, broad, and streight, ending at the orifice of the necke of the wombe betweene the ner∣vous bodyes of the Nymphae.

In men it hath connexion with the bladder, the ejaculatory vessels, the right gut * 1.7 and yarde; but in weomen onely with the necke of the wombe and privities. The use of it is in men to cast forth seed and urine, in weomen onely urine. But wee must note that the share bones must be divided and pulled asunder, in that part where they are joyned, that so you may the more exactly observe the scituation of these parts. Besides you must note that by the Perinaeum we understand nothing else, in men and weomen, than that space which is from the fundament to the privities in which the seame is called Taurus.

Notes

• * 1.1

  The substance
• * 1.2

  Figure.
• * 1.3

  Composition.
• * 1.4

  Temper, use or action.
• * 1.5

  Their sphin∣cter of the bladder.
• * 1.6

  The necke of the bladder.
• * 1.7

  The connexi∣on and use thereof.