A treatise on the diseases of the urethra, vesica urinaria, prostate, and rectum / by Charles Bell.

  • Bell, Charles, Sir, 1774-1842.
Date:
1820
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases of the urethra, vesica urinaria, prostate, and rectum / by Charles Bell. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    the abdomen: this had produced peritonitis, of which the patient died. These three last cases are all so complicated, that it is not probable that any means of treat- ment would have been successful; but sometimes the case is not so desperate, and may admit of a cure. When a communication has taken place, it will be discovered, 1. From the previous disorder of the viscera of the abdomen ; 2. By the pain and irritation in the bladder, at certain stated intervals after taking food ; 3. By the discharge of air from the urethra, and by feculent matter being mixed with the urine. The most obvious treatment will consist in attention to the original disease of the parts. It has probably been owing to some dysenteric affec- tion of the bowels, that the intestine has formed the adhesion. This is to be remedied by mild laxatives, small doses of ipecacuanha, and tepid clysters with laudanum. On the part of the bladder, the cure must be accomplished by injec- tion of the bladder, so as to free it of all feculency, and by letting the catheter remain in the bladder, so that the coats may be always in a state of con- traction ; for this will tend to obstruct the passage of the matter of the intestine into the bladder, and give time for the fistulous communication to heal.