The Principles and Practice of Surgery Volume 2; Being a Treatise on Surgical Diseases and Injuries (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 Excerpt: ...causes, in which there is an absence, not of power, but of its co-ordination. It may also arise after an amputation or a fracture of tho leg, when the inability to urinate is in groat measure to be attributed to position of the body, the act requiring for its execution a now and untried exercise of muscular power. The peripheral or eccentric causes which produce partial or complete loss of power in tho walls of the bladder are the following: 1. Ocer-distention An individual may from tho force of circumstances, from feelings of modesty, or from causes which lower tho sensibility of tho brain to tho ordinary wants of tho organs (as intoxication), allow the bladder to become so distended with urine that the nerves, in consequence of the pressure and stretching to which they are subjected, are rendered unfit for transmitting those motor impulses to its walls which are necessary for their contraction. This loss of power from peripheral causes is frequently met with in aged persons, especially in those whose occupations havo been of a sedentary nature. Book-keepers and men of literary pursuits, absorbed with their calculations and studies, often become insensible to the usual promptings of the organ, and allow the inordinate accumulation to bo repeated until there follows a permanent atony. In addition to the internal prossure from tho urine, there may be pressure from without, inducing such lesion of the nerves of the bladder as will destroy tho contractility of its walls for a long time, as when a blow or other injury is received in the hypogastric region, or when an accoucheur, during the delay of the foetal head in its transit through the pelvic basin, allows the bladder to become distended with urine. The evil resulting from over-distcntion of the bladder do...