Operative surgery . ge tube, states of cystitis due to retention of urine in pouchesand depressions in the bladder wall are either entirely cured or are per-manently improved. To lock up unhealthy ammoniacal urine in a bladderthat can not properly empty itself, after a lithotrity, is to court the forma-tion or recurrence of phosphatic stone. Hence it is well suited to somecases of recurrent calculus. He regards it well adapted to cases of stone complicated with deepstricture, as then both can be treated at the same time. It lessens the riskof the performance of lithotrity in the presence of a


Operative surgery . ge tube, states of cystitis due to retention of urine in pouchesand depressions in the bladder wall are either entirely cured or are per-manently improved. To lock up unhealthy ammoniacal urine in a bladderthat can not properly empty itself, after a lithotrity, is to court the forma-tion or recurrence of phosphatic stone. Hence it is well suited to somecases of recurrent calculus. He regards it well adapted to cases of stone complicated with deepstricture, as then both can be treated at the same time. It lessens the riskof the performance of lithotrity in the presence of a permanently damagedurethra. The Besults.—The results are eminently satisfactory, much better thanare secured by other methods in similar cases. Harrison reported 14 casesin 1894; all successful. Lithotrity in the Female.—The absence of the prostate body and theshorter and larger urethra of the female combine to secure a more completeemptying of the bladder, and also lessen the liability to the formation of vesi-. FiG. 1375.—Dolbuaus iiietliocl, third step. ((PKRATIOXS OX TIIK LKINAKV IJLADDlOlt. ILSl cal calculi. A stone iu the female bladder can not be grasped with thesame facility as can one in the male, owing to the difference in the normalshape and surroundings of the blatldcr and to the {)atlu)logical modificationsto which its cavity is subjected, due to its connections with the uterus andvagina, and the physiological and pathological variations caused by child-bearing and its sequels. The greater liability to a sacculated base requiresthat the instrument be reversed more frequently than in the sterner sex. ro: Fig. 1376.—Goiilevs lithoclasts,


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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya