Catheterism of the Ureters in the Male With the Help of the Ureter Cystoscope

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Excerpt from Catheterism of the Ureters in the Male With the Help of the Ureter Cystoscope: A Report of Seven CasesDiagnosis, based on the urinary examination: Left kidney, some chronic nephritis with very slight pyelitis. Etiology, probably stone. Right kidney, normal.The result of this examination speaks for itself. After seven years of existence, an obscure urinary trouble, with an almost entire absence of clinical symptoms for the last three years, is clearly diagnosed beyond doubt and dispute.So far the patient has not submitted to an operation, as his subjective condition is rather good. I shall not fail to report at a future time whether this strictly laboratory diagnosis has been corroborated by direct inspection.Case III. - B. B fifty years old, seen by me in consultation with Dr. Fred. E. Sondern. Previous history negative. In October, 1894, he had a very acute attack of pain in the region of the right kid ney, radiating into the right testicle and the penis, tenesmus and frequent desire to urinate, nausea and vomiting. Duration three hours.Analysis of urine (first passed after attack): Acid, some albumin, but not more than the blood present accounts for.Microscopic examination: Small amount of blood, some groups of epithelial cells, from the renal pelvis presumably, large quantity of uric acid in crystals. Also amorphous urates, some bladder cells. No stone was passed.During the following two months the patient had several attacks of right renal colic, pain was usually greatest at a point midway between the umbilicus and the anterior superior spine, radiating from there into the penis and scrotum. Duration varied from one half an hour to four hours. In the early part of 1895 there were frequent, at times daily attacks of pain more or less severe, radiating downward from the point above stated.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.