This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ...In case the foreign body forms in the urethra or is lodged there from the bladder, it is quite sure to be a phosphatic calculus. When the foreign body is introduced from without, if it remains long enough, it becomes incrusted with phosphates, and so forms a calculus. I have the specimen of a peculiar form of urethral ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 Excerpt: ...In case the foreign body forms in the urethra or is lodged there from the bladder, it is quite sure to be a phosphatic calculus. When the foreign body is introduced from without, if it remains long enough, it becomes incrusted with phosphates, and so forms a calculus. I have the specimen of a peculiar form of urethral calculus in a case in which the bladder was choked with a large ovoid stone, from one end of which a mass about 3 centimeters long and 2 centimeters in diameter projected into the urethra. The outer end is pointed, while a constriction at the upper end indi Fio. 2'K.--The Methoh Of Introditing THE SuTuRES IN ThE Case OF VESICO-VAGINAL FIStULA (B), AND UrEThIto-VAOINAL FiSTtLA ( U ). The bridge of tissue between D and B is the neck of the bladder. cates the position of the neck of the bladder. These calculi closely resemble the calculi filling the pelvis of the kidney, and projecting into the ureter. The symptoms of a urethral calculus are frequent and difficult micturition, with alkaline urine containing mucus, pus, or blood. The examination by the vagina reveals an enlargement in the anterior vaginal wall, somewhat movable and tender on pressure and densely hard, feelim" through the thick mucous covering like cartilage. On attempting to introduce a catheter into the bladder, the point strikes against the hard substance and the diagnosis is clear. Treatment.--The best mode of treatment, when the stone is not too large, is to extract it by the meatus in the manner proposed and practiced by Prof. A. J. C. Skene Diseasex of the Bladder and Urethra in Women, New York, 1878, p. 345). In one of Dr. Skene's cases the stone was lodged near the meatus; the forefinger of the left hand was introduced into the vagina and pressed above the calculus to...
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