Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

287/440 (page 269)

vagina, this traction is increased by the bladder whicli is usually prolapsed in these affections. It either happens that the kidney yields to this tractiouj or that tho ureter becomes closed by it. Finally, a whole series of diseases of the female sexual oi'gans contributes directly to the production of moveable kidney by inducing hydronephrosis which relaxes the capsule of the kidney. In consequence of the intimate mutual rela- tions existing, as we shall see, between moveable kidney and hydronephrosis on the one hand, and between affections of the female generative organs and moveable kidney, as we have already shown, on the other hand, it seems imperative to consider very briefly the relation between certain affec- tions of the female generative organs and the production o£ hydronephi'osis. Relations of Sexual Disorders to the production of Hydronephrosis. Even Walter (95) explained the frequency of hydrone- phrosis in women by the circumstance that they possess more organs capable of pressing on the ureters and thus giving rise to accumulation of urine, than men. Morgagni (96) had already called attention to the mutual relations between the pregnant uterus and the kidney, remarking on a case in point: Inter caetera autem detri- menta quae mulieribus afferunt cruciatus nephritici, non dubito, quin abortus, aut non infrequens et foetus, et matris interitus sit referendus. Cum enim uterus crescens ureteres premendo, minus per hos facilem reddat urinae defluxum, et, quod consequitur, nonnihil in renibus earn moretur . &c. • . • Cases, again, are not rare in which an autopsy has shown compression of the ureter by tumours of the uterus and ovary. A far more frequent cause of hydronephrosis is cancer of the uterus, in which hydronephrosis is almost one of the regular phenomena, as Virchoio, Sdxinger, and others have shown.