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.

    8/18 (page 6)
    during a period of less than two years, obtaining little, if any, relief. He was suffering greatly. I opened the bladder above the pubes, found a stone firmly fixed in a post-prostatic pouch, and took it out with a spoon exactly as one would take out half an egg from an egg-cup. The patient was entirely relieved, and made a good recovery. Fig. 4 represents the stone, which was phosphatic, and underneath the engraving shows the relations of this calcu- lus to the bladder and prostate. The stone presented by a small surface in the bladder, and lay in a pouch which was Fig. 4. not deep enough to make the detection of the stone diffi- cult by a sound introduced through the urethra, but was sufficiently deep to make successful lithotrity impossible. The following case, however, is still more remarkable, for while it illustrates the entire futility of lithotrity when the calculus is in a deep post-prostatic pouch, the stone is the most unusual one I have ever seen, and is really a cast of the pouch, showing all its irregularities. Case 3.—The patient was aged ninety-four. Some years ago he had been subjected to an operation of litho- trity, and more recently he had again undergone that operation. On both occasions the operators had been men