Papilloma of the bladder : operation, cure / by Joseph Ransohoff.

  • Joseph Ransohoff
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: Papilloma of the bladder : operation, cure / by Joseph Ransohoff. 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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    diate effects was very gratifying. During the first two days the contact of the urine with the clear surface of the wound gave rise to considerable suffering, but after granulations appeared this source of pain disappeared. During nearly two months the perineal wound remained open and the bulk of the urine discharged through it. The pain in the penis and perineum had passed away, and the desire to urinate had become less frequent. Notwithstand- ing frequent and copious injections made into the bladder through the perineal aperture while practi- cable, and later on through the penis, the urine continued alkaline for three months after the closure of the wound and the patient experienced the neces- sity to empty his bladder from four to six times in the course of the night. The pain in the rectum likewise continued for nearly six months after the operation and at times was so severe that I was re- peatedly accused of having operated in the wrong region. The continuance of these symptoms un- questionably depended upon the delayed reduction of the inflamed mucous membrane to its normal condition, and upon the substitution of a slowly healing ulcer in the place of the tumor. Quite a year elapsed from the time of operation before the urine passed by the patient was normal in character, and before he could pass six or seven hours in con- tinuous sleep. The tedious convalescence, which was extremely embarrassing in this case, corresponds with the experience of other operators in similar cases. 1 he rasping process which in this particular case