Ten cases of litholapaxy / by William Warren Greene.

  • Greene, Wm. Warren (William Warren), 1831-1881.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Ten cases of litholapaxy / by William Warren Greene. 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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    He remains, two months since operation, free from all symptoms of stone, although he suffers more or less from the enlarged gland. Weight of fragments, 447 grains. Case VII. D. B. R., native, aged seventy-four, clergyman. Four years previous to my first examina- tion he suffered retention from an enlarged prostate and too long holding of his water. So long was it be- fore he was relieved by a competent physician that the bladder lost all contractile power, and has re- mained perfectly paralyzed ever since, requiring con- stant resort to the catheter, which he had learned to use himself. Urine was alkaline, very offensive, and heavily loaded with triple phosphates, mucus, and pus. No blood. The sound readily detected stone, and the uretliral canal was found of large size. Under ether he sustained the operation of lithola- paxy well. I completed the operation in one hour and fifteen minutes, removing a calculus weighing 425 grains. The symptoms of cystic irritation promptly disappeared, and he has made a good, though, from previous feeble health, slow recovery. The paralysis of muscular coat of bladder remains, necessitating the use of a catheter. He is now, ten weeks since the op- eration, in fair health. Case VIH. G. B., native, aged fifty, carpenter, was operated upon for stone in a Western city four years ago, and after five different sittings the bladder was pronounced cleared. Amount or quality of frag- ments unknown. Severe cystitis with general fever fol- lowed and nearly proved fatal, according to his own ac- count, and he found, as he recovered fi-om the acute attack, the old symptoms returning. I readily detected stone, and he consented to the “ new method.” A very narrow and elastic stricture 3^ inches within the external meatus required division, which I effected with an Otis’s urethrotome, and I then proceeded to crush and evacuate a large stone without difficulty. Time, one hour and six minutes. Weight of fragments, ,708 grains. Now, six weeks later, he is well.