On dilatation of the ureters in extroversion of the bladder / by Francis Henry Champneys.

  • Champneys, Francis Henry, Sir, 1848-1930.
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: On dilatation of the ureters in extroversion of the bladder / by Francis Henry Champneys. 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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    [Reprinted from St. Bartholomew’s Hospital Reports, Vol. XVI.] . r ON DILATATION OF THE URET^S IK • EXTROVERSION OF THE BLADDER. / O BY FRANCIS HENRY C.HAMPNEYS, M.B. The suliject of this coiumimication is suggested by a valuable paper by l)r. Alexander James ^ ou hydronephrosis and dilata- tion of the ureters, in connection with incontinence of urine. The pa})er concerns three boys afflicted with enuresis, who died, and in two of whom (no autopsy being obtainable in the third) double hydronephrosis and dilatation of both ureters was found. The cases are briefly the following:— J. G., aged 8, had an injury when aged 3, resulting in phimosis, soon followed by diurnal and nocturnal enuresis. Circumcision gave slight temporary relief, but death followed an attack of coma after diarrhoea. The amount of urine ])assed in the 24 hours was not ascertained, but it was pale and of a low sp. gr. 1010, containing pus and renal cells, with a trace of albumen. At the autopsy, the bladder was found contracted, the muscular coat thickened, and forming ribs projecting into its cavity, the walls when distended being ^ inch thick; no cystitis, no stric- ture of urethra or ureters; both ureters and pelves of kidneys greatly dilated—double hydronephrosis. Two other boys died similarly after enuresis produced by some abnormal state of the prepuce, and in the only one of them in whom an autopsy could be held, the post-mortem appearances were similar. Also their urine was pale, of a low specific gravity, and contained some pus and albumen. Dr. James’s explanation is the following: Irritation at the ])repuce irritates the bladder, f.e., causes it to contract frequently and violently, damming up the urine in the ureters, and this may amount to serious obstruction, dilatation, and hydronephrosis. ^ Edinburgh Medical Journal, 1878, p. 135.