Lithotomy and extraction of stone from the bladder, urethra, and prostate of the male and from the bladder of the female / by W. Poulett Harris.

  • Harris, Worsley Poulett.
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: Lithotomy and extraction of stone from the bladder, urethra, and prostate of the male and from the bladder of the female / by W. Poulett Harris. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    The incision thus made, which in the adult must not extend beyond seven or nine lines (and in many cases should not exceed five lines in extent) from the urethra outwards and downwards through the left side of the prostate gland, will be very limited, and will not much exceed the breadth of the blade of the scalpel if, while it is being pushed along the groove of the staff, its point is not allowed to leave the guidance of that part, or its handle to form a large angle, but is kept as nearly as possible parallel with it. Though in this incision the apex of the prostate gland is always completely divided, yet, if the point ! of the knife is not permitted to leave the groove, ; a few lines or rim of glandular tissue with the cap- ( sule will be left intact at the base of the gland, and the only part of the bladder which will be cut will ( be the unyielding ligamentous issue at its neck: 1 the extent of the incision through these parts de- )i pending, as above stated, upon the breadth of the {■ blade of the scalpel, and the angle at which it is :ji pushed along the staff into the bladder. Provided the knife is carried sufficiently far il along the groove of the staff to notch the ligamen- '■ tons band at the neck of the bladder, a limited )i incision of seven to eight lines, which at first will not be much more than suflicient to admit the forefinger, will allow of dilatation being carried to any required extent, partly by the finger, but 7