Clinical lectures on stricture of the urethra and other disorders of the urinary organs . in the accompanyingdrawing. (Plate J.) These growths, so long as theydo not give rise to haemorrhage, or obstruct the orificeof the urethra, may exist for a considerable time with-out causing much inconvenience. Occasionally, bythe irritation they give rise to, they simulate stone. Isaw a case some years ago, where the weight of sus-picion that there was a calculus was increased by apeculiar gritty sensation being felt as the sound wasmoved about the bladder; this, I believe, was explain-able by the villi
Clinical lectures on stricture of the urethra and other disorders of the urinary organs . in the accompanyingdrawing. (Plate J.) These growths, so long as theydo not give rise to haemorrhage, or obstruct the orificeof the urethra, may exist for a considerable time with-out causing much inconvenience. Occasionally, bythe irritation they give rise to, they simulate stone. Isaw a case some years ago, where the weight of sus-picion that there was a calculus was increased by apeculiar gritty sensation being felt as the sound wasmoved about the bladder; this, I believe, was explain-able by the villi being encrusted with phosphates, as Ihave endeavoured to shew in the Plate, where asimilar condition existed. As these growths are of such a flocculent nature,their presence during life cannot with certainty be as-certained, either by digital examination or by the intro-duction of the sound ; the persistence of haemorrhagein the urine, aggravated by the passage of instrumentsinto the bladder, together with the evidence which the process of exclusion affords, will point to the Plate J. SEVENTEENTH LECTURE. 170 probable cause. Unmistakable proof, however, is notunfrequently afforded by microscopical examination ofthe clots and broken tissue which either spontaneouslyescape, or are entangled in the eye of a catheter thatmay have been introduced. Such occurred in thespecimen (Plate J) removed from a patient of , where, during life, the nature of the growthwas in this way discovered. Again, in a case of , at the Northern Hospital, where the patientwas admitted for severe hematuria, the existence of avillous growth, as the probable cause, was determinedin a similar manner. The microscopical appearanceof these growths is well shewn in the Transactions ofthe Pathological Society of London. * In the treatment of villous growths, it must beremembered that when they prove fatal, it is by thesevere haemorrhage they occasion; consequently it isvery desirable to avoid la
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