On the retention of urine in the female / by J. Halliday Croom.

  • Croom, J. Halliday (John Halliday), Sir, 1847-1923.
Date:
[1878]
Catalogue details

Licence: Public Domain Mark

Credit: On the retention of urine in the female / by J. Halliday Croom. Source: Wellcome Collection.

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    Most of us are familiar with a form of partial, sometimes complete, retention, resulting from the impaction of a calculus in the urethra, easily enough diagnosed, and, from the dilatability of the tube, as easily removed. It would thus appear that the causes leading to retention of urine in the female may be thus conveniently grouped :— 1. Injuries or contusions during labour acting directly or by subsequent inflammations. 2. Pressure of displacements or tumours acting mechanically on urethra or neck of bladder. 3. Injuries or growths acting reflexly. 4. Diseases of nervous system. 5. Direct obstruction within the tube of the urethra, as from stricture or foreign bodies, such as a calculus. In drawing this paper to a conclusion there are one or two points which seem worthy of note. 1. In all cases of retention of urine a vaginal examination is necessary. 2. A gum-elastic male catheter of medium size, without the stilette, is the best form of instrument to employ. 3. In retention from displacement it is important to remember the altered position of the urethra. In retroversion of the gravid uterus the vagina is drawn upwards and forwards, the meatus is drawn upwards, and the direction of the upper part of the canal is backwards and downwards. 4. M hen any difficulty exists in accounting for the retention a visual examination should be insisted on. °\ Ik Is a safe rule, before giving a definite verdict on any pelvi-abdominal tumour, to empty the bladder. Article V. Notes of a Case of Extroversion of the Bladder and Episjpadias. By Dr Henry W. Laing, Bridge of Earn. Mrs E., set. 42, on 21st Eebruary, gave birth to a male child having extio version ol the bladder and epispadias. The parents are both leal thy, and this is their tenth child; one died in infancy, the other eight are reported to be healthy. The mother enjoyed very good health during the earlier months of pregnancy, but not quite so good during the later months. , .^ie °kikd was born at the full time, and, with the exception of is laie abnormality of the uro-genital system, appears well ( eJe °l3e^- ^ tumour projects from tire hypogastric region, and ex ends from the umbilicus to where the symphysis pubis ought ? ^ measuring transversely one inch and a quarter, and a on an inch vertically. The tumour, which forms an irregular o\ a s lg itly flattened on the surface, projects about half an