Atony of the bladder without obstruction or signs of organic nervous diseases / by J.W. Thomson Walker.

  • Thomson-Walker, J. W. (John William), 1871-1937.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Atony of the bladder without obstruction or signs of organic nervous diseases / by J.W. Thomson Walker. 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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    REPRINTED FROM ANNALS OK SURQKRY I November, 1910 ATONY OF THE BLADDER WITHOUT OBSTRUC- TION OR SIGNS OF ORGANIC NERVOUS DISEASES.* BY J. W. THOMSON WALKER, M.B., F.R.C.S., OF LONDON, Assistant Surgeon to St. Peter’s Hospital. To the surgeon, atony of the bladder is a sufficiently familiar phenomenon. For clinical purposes such cases have hitherto been arranged in two well-defined groups, those in which the atony results from obstruction to the outflow, and those in which organic nervous disease is present to explain the want of contractile power of the bladder. To the former group belong cases of enlargement, simple or malignant, of the prostate, and stricture; to the latter group, the cases of diseases of the spinal cord when the nervous control of the bladder has become early and severely affected. These cases usually drift to the surgeon under mistaken diagnoses of stricture or some form of obstructive diseases. Then there is another class of case of nervous disease, where the patient appeals to the surgeon for relief of secondary phosphatic stones in the bladder, or of chronic cystitis, resulting from * A lecture delivered at the Medical Graduates College, London, on June 2, 1910.