File:Operative gynecology - (1906) (14760610796).jpg

Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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-one, began to suffer at the age of fifteen withan irritable bladder at the menstrual periods, the difficulty extending intothe intermenstrual period as well after six months. Pain in the bladder soonbecame constant, and to this was added in another year pain in the left loinand down the thigh. In about five years the patient was pretty constantly con-fined to her room. ISTo treatment produced more than temporary relief from theagonizing pain and spasms accompanying the act of micturition every few TUBERCULAR URETERITIS. 515 minutes by day and night, when her screaming could be heard at a longdistance. Upon examination, the left ureter was found thick, hard, and nodular, asif slightly constricted at irregular intervals, and in the left fornix somethingwas felt like a distinct mass in the broad ligament, The slightest pressure onit produced exquisite pain and a desire to urinate. On catheterizing both ure-ters at the same time, several cubic centimeters of amber-colored urine collected
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Fig. 285.—Demonstration of Stricture of the Ureter and of Hydrottreter. Both ureters are catheterized; the catheters are crossed in the urethra so that the beaker on thepatients right side collects the urine from the left side. In the same time that the small quantity ofdark acid urine collected in one glass, the pale lemon-colored alkaline urine poured out and almostfilled the other glass. The catheters in this case entered as far as the brim of the pelvis only. from the right side, while none at all escaped on the left; but on pushing thecatheter farther in, behind the broad ligament, there was a sudden escape ofpale lemon-colored urine flowing in a steady stream until the beaker was filled(see Fig. 285). The urine on the right side was acid, while that on the leftwas alkaline, and also contained abundant pus and tubercle bacilli. On trying to withdraw the left catheter, it was found firmly held in thebite of the strictured ureter. The presence of the stricture was further demon-s

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