Transactions of the American Urological Association Volume 6 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1912 edition. Excerpt: ... brought with him. I was indebted to him for doing so, because I felt that it was up to me to show that that shadow was a stone, as I thought. We ought all to practice this, and ought to convice the medical public that this method is efficacious, and that patients with these maladies should be given a chance for this procedure before they undergo a major operation. Dr. HOWARD W. Beal of Worcester, Mass.: I wish to endorse the paper of Dr. Lewis. Several years ago I removed two stones from the ureters through the cystoscope (by dilatation of the ureteral orifice). I think this method is very much neglected in our work, and in the coming years will be generally used. The first case was that of a woman who had been gradually losing weight and strength for a number of weeks, and was thought by her family physician to be in a very serious condition. She was brought to the hospital, and on examination a stone was found to be impacted in the right ureter. On trying to reach the stone with a pair of forceps it was pushed farther back into the ureter and beyond the reach of the finger in the vagina. I dilated the orifice with a pair of forceps. The pain ceased, and she passed the stone the next day. She began to improve in condition, and has been well for several years since. That was evidently the only source of her symptoms. The other case was a man fifty years old, a farmer, who had had pain in the left side four months, with more or less purulent urine. The first time I cystoscoped him I found a stone in the left ureter. The surgeon on duty refused to operate on him because he was a poor operative risk. So under ether I attempted to remove the stone through the cystoscope. There was a great deal of edema around the ureter, and from the orifice...