A practical text-book of the diseases of women / by Arthur H.N. Lewers.

  • Lewers, Arthur Hamilton Nicholson.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: A practical text-book of the diseases of women / by Arthur H.N. Lewers. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    435/498 (page 411)
    of itself. In some cases the urine first drawn ofif is dark like porter and contains an abundance of blood, prob- ably from sloughing- of the vesical mucous membrane. Ovarian iuinours very rarely cause retention of urine, but they do occasionally] I have met with one instance of this (see p. 337). Fibroid iumours of the uterus, on the other hand, often cause retention, and when this has been relieved, it does not necessarily recur. Retention of urine may occur in advanced cases of malignant^ disease of the cervix involving the vagina. I have met with a case of this kind where five pints of urine were drawn off. The retention did not recur during the time the case was under observation. Malignant tumours originating in the pelvis may cause frequent and painful micturition. Tuviours in the vagina, whether originating there or elsewhere, may also interfere with micturition. c. Hysteria may cause retention of urine, or lead to frequent micturition owing to an unusually large quan- tity of urine being secreted ; sometimes, however, in such cases absolutely less urine than normal is secreted. d. Labour.—Difficulty in passing water, or complete inability to pass it, may occur after labour, due to the bruising or laceration of the parts in the neighbourhood of the urethra. e. Procidentia.—Difficulty in passing water is not un- frequently present; often the patient has found that by pressing the parts up she can pass water more easily. Diagnosis.—The chief point to be considered at first is whether the symptoms are due to morbid conditions of the urinary tract, or of the urine; or to morbid con- ditions elsewhere. Whether in fact the cause is in Group 1. or Group II.