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:
1876
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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    sweating agony. The semen also may be emitted, and the contents of the bowels evacuated, or a prolapsed eversion of the mucous membrane of the anus occur, during this strain of the last few drops of urine. Pro- fuse and gushing haemorrhage often accompanies or follows the act of micturition; or the urine may be bloody, alkaline, purulent, and foetid. All these sus- picious symptoms are corroborated on finding a tumour in, or involving the base of the bladder, when tilted up with the finger, per rectum; or by the discovery of a tumour at the lower part of the abdomen, in the region of the bladder. But is such tumour malignant or benign ? Constitutional symptoms cannot, I think, decide this question; for the so-called cachexia of cancer is rarely present, even at an advanced stage of this disease, as affecting the bladder. The patient's general health and aspect is merely that of a person worn down from pain, sleeplessness, and loss of blood. But the general severity of the bladder symptoms may receive additional significance by the detection of cancer-cells in the urine, as revealed by the microscope. Yet the resemblance of cancer-cells to the rudimentary form of vesical epithelium, will render this evidence equivocal; unless, indeed, a mass, or an infiltrated papilla, can be brought to light. In a later stage of the disease, enlargement of the glands in the iliac regions, confirms the diagnosis. The age and sex of the patient should also be taken into account. Thus, scirrhus is more common in men, and between forty-five and sixty years, is the most liable period of life. Cal- culus sometimes coexists with cancer of the bladder.