The importance of the post-prostatic (or trigonal) pouch in the surgery of vesical calculus : illustrated by several cases / by G. Buckston Browne.

  • Browne, G. Buckston (George Buckston), 1850-1945.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: The importance of the post-prostatic (or trigonal) pouch in the surgery of vesical calculus : illustrated by several cases / by G. Buckston Browne. 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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    an impracticable operation, since it is mechanically im- possible to evacuate the bladder of all debris by urethral instrumentation. Case i.—D. T , aged sixty-eight, seen with Dr. Whittle of Brighton, July 1886. For seven years all urine by catheter; urine very fetid. By rectum, prostate found very large. A tight urethral stricture at five inches from meatus; urethra nine inches long. Owing to the stricture, catheterism very difficult. I therefore performed internal urethrotomy. After this no difficulty ; passed Nos. 13 and Nine calculi, each bearing a spike, probably the result of friction from being closely packed together in a post-prostatic pouch. 14 with ease.—February 14th, 1887: Patient complains of a pricking pain at the mouth of the bladder ; worse when he rides. Sounded him and found a small stone.—February 19th : Lithotrity ; a most tedious operation. It seemed that as soon as one calculus was crushed and cleared out the tube and aspirator would suck out another stone from some sac or pocket, for immediately after the debris were withdrawn a stone would rattle against the end of the tube, rendering the reintroduction of the lithotrite necessary. Fig. 1.