A treatise on the formation, constituents and extraction of the urinary calculus; being the essay for which the Jacksonian Prize for ... 1833 was awarded / by John Green Crosse.

  • Cross, John, 1790-1850.
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the formation, constituents and extraction of the urinary calculus; being the essay for which the Jacksonian Prize for ... 1833 was awarded / by John Green Crosse. Source: Wellcome Collection.

    42/366 (page 26)
    ON URINARY CALCULI SITUATED IN THE URETHRA, AND ON CALCULOUS CONCRETIONS IN THE PROSTATE GLAND. It has repeatedly happened that a calculus has just quitted the bladder and become fixed in the commencement of the urethra, increasing there in process of time to a considerable magnitude, so as to lodge partly in the prostatic portion of the urethra and partly in the bladder. A stone thus placed creates great pain, and is usually accompanied by constant stillicidium; it is easily felt with the sound, but this instrument meets with great obstruction when an attempt is made to intro¬ duce it into the bladder; indeed, if there have long been stillicidium, this viscus becomes so much contracted, that there is hardly a vesical cavity remaining to receive the end of the sound. The surgeon may recognize such a position of the stone not alone by the symptoms enumerated, but by the sound coming in contact with it before being passed deep enough to enter the bladder; and if the stone occupying the prostatic urethra be large, it can be felt by the finger introduced per anum. It is highly expedient that an operator should know when a stone occu¬ pies this peculiar situation, as he will meet with great embarrassment from pro¬ ceeding, in such a case, under the idea that he is about to remove a loose stone from the cavity of the bladder. A very experienced lithotomist refused to operate upon a patient aged sixty-six years, on account of the bad state of his health, and the morbid condition of his bladder as indicated by the abundant muco-purulent I discharge voided with the urine ; but without detecting or suspecting any peculiarity in the situation of the stone. After this advice was given, the patient lingered in great misery between two and three years. I obtained his bladder, which exhibited the appearances represented in plate ix, fig. 1. A large calculus (plate ii, fig. 3)