The modern treatment of stone in the bladder by litholapaxy : a description of the operation and instruments with cases illustrative of the difficulties and complications met with / by P.J. Freyer.

  • Freyer, P. J. (Peter Johnston), Sir, 1851-1921.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: The modern treatment of stone in the bladder by litholapaxy : a description of the operation and instruments with cases illustrative of the difficulties and complications met with / by P.J. Freyer. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    employing a thin and pliant bamboo twig, which he produced, to assist him in passing water. This he passed through the urethra, and by means of it pushed back the stone from the neck of the bladder preliminary to passing urine. He then went through a process resembling, in many respects, the milking of a cow. He pulled his penis with force, putting it on the stretch, then relaxed it, when some urine passed away with a rush. This process was repeated again and again till his bladder was emptied. I have already stated that no selection of cases was made, and that patients in the very worst conditions of health were frequently operated on. This will have been apparent from some of the cases already given in detail. In order to illustrate what the modern opera- tion is capa.ble of in rescuing from death many sufferers on whom no cutting operation could be enter- tained. I am tempted to give details of the following cases :— Case LYI.—A Mahouiedan. aged 85, was brought to the Moradabad Hospital on the 8th of August 1883. with symptoms of stone, which had existed five years. The patient was extremely exhausted from his sufferings; he was a mere skeleton, unable to walk, and had to be carried in a bed. The pain in the bladder was very severe, and micturition frequent, only a few drops of urine coming away at a time. There was no albumen. The patient was so weak that no operation could be entertained at once, so he was kept in hospital for preparatory treatment. On the 12th of August there was scarcely any improvement, but, as the man was clamour- ing for the operation, chloroform was given and litholapaxy