The

patient rapidly improved;

in tlie Course of the first

week, the urine took its natural channel, and before the end of the second, the wound was quite healed. The water dribbled away for some time, owing to the partial paralysis caused by the long continued dilatation of the neck of the bladder, by the

of the stone there j but under the treatment of small strychnine with tincture ferri perchlorid. and acid hydrochloric, dil. a perfect cure was effected, and the boy discharged on the 17th June, 1871. Annexed is a sketch of the stone.

lodgment

doses of

iw:4j%0m. wm

Y?Vesical end. Y?Yesical end.

MIRZAPOEE DISPENSARY. URETHRO

VESICAL

\J

CALCULUS.

By Surgeon A. It. Waghobn. Patient, a boy, agccl 13 years, caste Mullah : thin and very mucli reduced ; urine very muco-puruleiit, and contains a large amount of whitish earthy particles ; it dribbles constantly, keeping the clothes and thighs always wet; blndder very much distended and never perfectly empty ; general health not satisfactory ; patient becomes heated daily towards evening. On 25th May, examined without chloroform. A stone was detected firmly impacted in the urethra close to the neck of the bladder; it prevented the passage of the instrument, and all attempts to push it back into the bladder failed. On the morning of the 26th May, the patient having been prepared in the usual manner, wus operated on. The smallest staff was with the greatest difficulty introduced into the bladder beneath, the stone, and the lateral operation performed. The stone had not formed any adhesions, and was readily removed ; it was of a dumb-bell shape, and weighed just over an ounce ; the vesical portion of the stone was rather larger than the urethral, and projected upwards into the bladder, with the neck and urethral almost a forming portion right angle. The following are the measurements of the stone-:? 2 inches. Length exactly Circumference of vesical end 3ftli ? urethral end ? Sfth ? ...

...

...

...

...

n

?

>i

neck

...

2fth

?

long thin stone, it had found its way into the urethra, and there becoming fixed had grown into its present form, increasing most at those points where least Originally, perhaps,

a

resistance was offered ; the vesical end had grown more upwards ; the urethral appears to have growu in length and down-

wards.

U?Urethral end.

N?Neck. ?Neck.

Urethro Vesical Calculus.

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