Diseases of the bladder, prostate gland, and urethra : including a practical view of urinary diseases deposits and calculi / by Frederick James Gant.

  • Gant Frederick James, 1825-1905.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the bladder, prostate gland, and urethra : including a practical view of urinary diseases deposits and calculi / by Frederick James Gant. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    1 practical application to operations for the relief of re- •tention of urine, and are also concerned in tlie various ■ operations of lithotomy and lithotrity. When entirely > empty, after the complete evacuation of urine, it is reduced to its minimum size, and it then has the shape of a triangular sac, flattened in front and behind; its base is directed downwards, resting on the rectum, and the apex reaches upwards to behind the symphysis pubis, so that the sac lies against the triangular liga- ment, and sunk down entirely within the cavity of the pelvis. When moderately distended—as was sup- posed in describing the relations of the bladder—this sac assumes a circular form, with the corresponding dimensions of about three inches in width and five inches in length, the organ holding about a pint; but its axis remains nearly vertical, and it is still contained mthm the pelvic cavity. When fully distended, the bladder acquires an ovoidal or egg-shaped form, curved also somewhat, and compressed, from behind forwards, thus becoming slightly concave in front and widened from side to side; the organ has rotated on its transverse axis, the base being directed downwards and backwards on the rectum, or vagina, and the summit looking upwards and forwards—its long axis, therefore, inclining in an obHque line drawn from the coccyx to some point between the pubes and the umbilicus; the bladder rises in the direction of this Hue, out of the pelvis, until its summit touches the wall of the abdomen above the pubes, in the hypogastric region, at a height varying according to the state of distension. This elevation of the bladder proceeds from the neck, which, owing to its