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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    largest instruments without obstruction. There was moderate trabeculation of the bladder and some dilatation of the vessels at the trigone. There was no intravesical enlargement of the prostate. There were seven ounces of residual urine. There were no signs of nervous disease. Case V.—J. G. C. (V, 533), a wireman, aged fifty-nine, was sent to me at St. Peter’s Hospital in May, 1908, by Dr. C. W. Chapman. He was in good health until 18 months ago, when he showed symptoms of plumbism, for which he was treated. He then came under Dr. Chapman’s care for aortic and mitral lesions, and was sent to me on account of dribbling of his urine. He stated that four months before I saw him he had experienced scalding and great difficulty in passing water. Some time later he began to dribble at night, and this had continued. He passed water four or five times a day in a poor dropping stream. He had noticed a swelling of the abdomen for six weeks. When I examined him the bladder was greatly distended and reached well above the level of the umbilicus. He suffered from thirst, headache, and a dry skin, and his appetite was poor. The tongue was dry. The prostate was small and soft. I admitted him to the hospital and his urine was slowly drawn off. There was no obstruction in the urethra. After the bladder had been emptied, the urine was drawn off twice daily. There was marked trabeculation of the bladder. The prostate did not project into the bladder. Dr. Purves Stewart found no organic nervous lesion. Case VI.—H. C. (V, 584), a laborer aged thirty-three, came under my observation at St. Peter’s Hospital in May, 1908. He stated that he had suffered from difficulty in making water and some frequency for five years. The onset was gradual. Instru- ments were passed at a general hospital, but without any improve- ment in his symptoms. The frequency of micturition increased after this, and he passed water every quarter of an hour during the day, but not at all at night. He was attended at St. Peters’ Hospital in 1904, when it was noted that his urine was clear, with a few filaments. He passed water every hour and four or five times at night. Instruments were passed from time to time, but without improvement in his symptoms. In March, 1906, he was admitted to the hospital, and the urethra examined under an anaesthetic. Large steel instru- ments were passed, but no stricture was found.