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.