A new method employed for removing a urinary calculus from the urethra / by Alden March.

  • March, Alden, 1795-1869.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: A new method employed for removing a urinary calculus from the urethra / by Alden March. 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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    medical gentlemen of the Legislature, citizens, physicians and I medical students, by urging it forwards with the fingers. In this I way it was at once started, and brought within about an inch and ; a half of the orificium urethra, where it seemed to resist all further effort by such means alone. At this juncture, I seized a large sized steel sound, which lay near at hand, and passed it into I the urethra down to the calculus, by which the passage was expanded, somewhat like that of the mouth of a bag, by the fingers, when an effort is being made to fill it with any bulky | material. With the sound thus fixed in contact with the stone, | the manipulating process, with the fingers, was again resumed, by ; which both stone and sound were extruded from the urethral i orifice. j The calculus, as will appear from the examination of the speci- j men herewith exhibited, is of that class of urinary deposits called ! mulberry calculus. The color and physical configuration, '■ appear considerably like the fruit of the mulberry. I Dr. Mosher, the professor of chemistry iu the Albany Medical j College, applied two or three tests to determine its chemical com- ! position, which resulted in his finding oxylate of lime. I believe i this variety of calculus is not often met with; perhaps not oftener , than once iu thirty or forty specimens of urinary calculi. Its 1 asperities and general rough surface, will account for the bloody i urine occasionally passed by the patient. The chief point of I interest in our case, consists in what we claim to be a neAV and i simple method employed in removing the calculus from the ' urethra. The sheathed forceps, or bullet extractor, as we will now demonstrate, with a piece of India rubber tubing, I think, may answer a valuable purpose, especially in the adult. I do not know that so small an affair, and a thought or principle | so simple as that which was made available in accomplishing an ] important object, is worthy the consideration of the Society; if not, ; I beg pardon for consuming, even a few moments of its valuable time. I ] i