Surgical reports / by George H. Porter.

  • Porter, George Hornidge, 1822-1895.
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: Surgical reports / by George H. Porter. 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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    This being accomplished, the forceps is passed in on the finger, the foreign body caught, and at once extracted. The following cases of foreign bodies in the bladder, and the surgical exertions for their removal, may be interesting to the profession:— Case I.— Tight Organic Stricture of the Male Urethra; a large Portion of a Catheter lodged in the Bladder; the Stricture forcibly dilated ; the Foreign Body extracted ; Recovery. T. C., aged forty-three years, a married man, had suffered for three years from tight organic stricture of his urethra about four inches from its orifice. It was caused, apparently, by an injury received nine years before. He had it dilated on several occasions by different modes of treatment, but it always showed a great tendency to close again. He had been three times attacked with complete retention of urine, and was with great difficulty relieved. He was in the habit of introducing bougies himself, and allowing them to remain in the passage for some hours, and for the last two years felt satisfied with his own treatment without applying to a surgeon. He was never able to force a bougie larger than No. 4 through, or rather into the stricture. On the 28th June, 1872, he came under my observation, and gave the following details:—He had cut off about five inches and a-half of a French bulbous catheter, which he forcibly pushed into the stricture, where he left it so tightly grasped, that he thought it impossible for the instrument to come out, or, on the other hand, to glide backwards into his bladder. He went out for a drive of two hours’ duration, and on returning home discovered to his great alarm that, instead of remaining as he had placed it, the piece of catheter had worked its way through the stricture, and lay partially in his urethra and bladder. I thus found him in a state of great anxiety, complaining of acute pain in the region of the bladder, with a constant desire to pass water, which dribbled away on each exertion to avoid it. Pressure on his perinaeum gave intense agony. Having endeavoured to calm his mind, I had him placed immediately in a warm bath, and administered a draught containing tincture of hyoscyamus, liquor potassas, laurel water, and camphor mixture. After remaining in the bath for twenty minutes I had him removed to bed, and told him I would endeavour to extract the piece of the catheter early the following day. He was desired to repeat the warm bath in the meantime, as also the draught at ten o’clock p.m.