Case of a foreign body in the bladder, with stricture of the urethra / by Edward Lund.

  • Lund, Edward, 1823-1898.
Date:
[1872]
Catalogue details

Licence: Public Domain Mark

Credit: Case of a foreign body in the bladder, with stricture of the urethra / by Edward Lund. 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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    CASE OF A FOREIGN BODY IN THE BLADDER, WITH STRICTURE OF THE URETHRA. By EDWARD LUND, F.R.C.S., LECTURER ON ANATOMY, AND ONE OF THE SURGEONS TO THE MANCHESTER ROYAL INFIRMARY. In July, 1871, I was consulted by S. W., an engineer, net. 33, who had been married twelve years, but without family. He told me he had been subject to stricture of the urethra for about thirteen years, for which he had been under surgical treatment, more or less, until about four years since, when he began to pass bougies and catheters for himself. In this way he had kept the canal sufficiently patulous to avoid any serious inconvenience. He generally used the bougie or catheter of No. 4 size, and occasion- ally with difficulty he had passed a No. 5 ; but eleven days before coming to me he had unintentionally, when passing a catheter, taken up a No. 3 instead of No. 4, according to his custom ; the bladder was very full at the time, and he was urgently desiring to pass urine, when in some unaccountable manner the catheter passed very suddenly along the urethra, the piece of ivory at the end, which was loose, slipped off, and the instrument was drawn into the bladder and lost to sight and touch ; a stream of urine all this time was passing out by the side of the catheter. He was greatly alarmed at this accident, but no particular pain resulted from it at the time ; he took no steps in the matter for a few days, nor did he experience any persistent inconvenience from it. After an interval of about five days, pain commenced on the conclusion of each act of micturition, and this increased so much from time to time that at last he determined to seek advice. He told me he had passed some blood with his urine on one occasion, but, with this exception, all that he complained of was great pain near to the glans penis each time the contents of the bladder were evacuated.