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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    suffering from severe prostatitis, and this resulted in an abscess in the left lobe of the gland which nearly cost him his life. He survived this peril, however, and has quite steadily improved, until now, six months since the litholapaxy, he is in fair health, and entirely relieved of cystic irritation. Curiously, as fortunately, whether entirely from the suppuration process or this and ad- ditional effects of the severe and long-continued press- ure of the large instruments, the prostatic enlargement and suffering have disappeared. Weight of fragments, 658 grains. Case IV. Mrs. W. C., native, age thirty-eight, had endured ‘‘ great agony ” in passing water for over three years. The very significant symptoms need not be detailed. She had, at different times, discharged quite a number of calculi, varying in size from a mus- tard seed to a large pea, several of which I saw. The sound struck a large, rough stone at once. Under ether I rapidly dilated the already capacious urethra until I could pass my forefinger readily into tlie bladder and touch the stone. The bladder was so firmly contracted and its w’alls were so thick and dense that it was with difficulty I distended it sufficiently to give room for the lithotrite to work. This being accomplished, the crushing was rapidly done, as was also the evacuation readily effected, through a 36 tube, and the operation was completed in thirty-two minutes. When the tube was first inserted, and before I could connect with the biilb, three small but distinct calculi, the size of buck- shot, escaped and fell on the floor. She recovered without an unpleasant symptom. Three days ago, and four months since the operation, Mrs. C. called on me, in excellent health and spirits. Weight of calculi, 1015 grains. Case V. Samuel F. S., Irish, aged seventy-one, blacksmith, had suffered from enlarged prostate for ten years or more, and it was difficult to determine just when the calculoid modification of symptoms obtained.