CASE

A

WHICH

IN

A

FORMED

STONE

IN

THE

URETHRA AROUND A PIECE OF WOOD INTRODUCED INTO THE URETHRA TWENTY-SIX YEARS BEFORE THE REMOVAL OF THE STONE.1

Charles A. Morton, F.R.C.S., Professor of Surgery in the University of Bristol, and Senior Surgeon to the General and Children's Hospitals.

In

July, 1909,1

who had

a

this it struck was 1

a

was

asked

sinus in the a

by Dr. perineum.

stone in the

very remarkable

Specimen shown at Society, March 9th, 1910.

one. a

A. Peake to

see a man, aged 48, probe was passed along urethra. The history of the case Twenty-six years before we saw

meeting

When

of the

a

Bristol

Medico-Chirurgical

128

CASE OF STONE IN THE URETHRA.

him he had retention of

passed

kind of

a

bougie

to relieve himself he

urine, and in order

The end of this

which he made of wood.

broke off in his urethra, but curiously enough it did relieve the retention. The broken-off end of the wooden bougie, however, He had had difficulty with micturition kept in the house a No. 4 metal catheter, which he passed when the difficulty was marked. In doing so, he told us, he struck the piece of wood. He really struck the stone, but knowing nothing about stones in the urethra, he imagined it to be the piece of wood. A few weeks before

remained in the urethra. at times

since,

and had

we

him

saw

perineum,

sinus formed in the

a

and Dr. Peake had

another abscess there before

we

him

saw

large perineum, more was a

left.

mass

In this

together.

to the

catheter

bladder,

difficulty. The

urine

but

There

right

than the

the earlier sinus

opening.

urine flowed from both.

silver

opened days

few

of induration in the

was

and Dr. Peake's

a

passed with

Pus and A No. 3 into

the

considerable

grated over the stone. was purulent but not

It

offensive.

days later I removed the stone. The mass of induration It lay in a pouched was very largely due to the size of the stone. the middle of line than the more to one side urethra, distinctly of a wood was discovered other. On cutting open the stone piece as its nucleus. This seems to have been prepared by nature for photographic purposes. Some constituent of the urine had stained its outer layer red, and this has, of course, come out as a black line in the photograph, as if the piece of wood had been drawn in with ink. The photograph represents the stone oneof an inch eighth larger than it is. My efforts to get it exactly A few

the actual size

were

unsuccessful.

A Case in Which a Stone Formed in the Urethra around a Piece of Wood Introduced into the Urethra Twenty-Six Years before the Removal of the Stone.

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