Letters |
Retired Consultant Physician in Genitourinary Medicine, Royal Sussex County Hospital, Brighton, UK
E-mail: stephpaul{at}hotmail.co.uk
As S Tibi's article states Al-Razi was indeed an exceptional physician (April 2006 JRSM1). He was a polymath, an observant clinician and a prolific writer. In one of his most noted publications he described patients with acute urethritis similar to the gonorrhoea that we see today. He was the first physician to detail full and definitive manifestations of gonorrhoea.2 He wrote of urethral discharge and its treatment by irrigation; he was familiar with urethral stricture, and emphasized the importance of catheterization if there was a threat of retention of urine.
Ancient physicians (Hippocrates, Galen and Celsus) wrote about urethral discharge, but the overall clinical picture they presented was very different from gonorrhoea as we know it. Al-Razi was instrumental in convincing medical historians to conclude that gonorrhoea originated in the Middle Agesa landmark in the history of venereology.
Footnotes
Competing interests None declared.
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