. Virginia medical semi-monthly. on, the patient leavingthe hospital at end of second week. This is the third case operated by me forstone in the pelvic portion of the ureter bythe transperitoneal route with uneventful re-sults. It is my opinion that this method ofoperating for stones in this locality is themost rapid and the most successful in caseswhere the urine is free from pus. For the removal of ureteral calculi, the cys-toscopic method should be employed in allcases that promise any degree of success. Thisprocedure consists in dislodging the stone witha ureteral catheter, the injection
. Virginia medical semi-monthly. on, the patient leavingthe hospital at end of second week. This is the third case operated by me forstone in the pelvic portion of the ureter bythe transperitoneal route with uneventful re-sults. It is my opinion that this method ofoperating for stones in this locality is themost rapid and the most successful in caseswhere the urine is free from pus. For the removal of ureteral calculi, the cys-toscopic method should be employed in allcases that promise any degree of success. Thisprocedure consists in dislodging the stone witha ureteral catheter, the injection of sterilefluids, the injection of sterile oil. the use ofthe thermo-catheter as advocated by Geraghty,and the use of the open cystoscope as advocatedby Kelly. When these measures fail, it be- 218 THE VIRGINIA MEDICAL SEMI-MONTHLY. [August 11, comes necessary to resort to more major sur-gical procedures, depending upon the locationof the stone. Calculi in the urethra are probably foundless frequently than in any other portion of. Stone in pelvis of kidney removed at operation. the urinary tract. In looking over the litera-ture for the past year, I found only one casereported, and that a man, age 42, who had hadpain in the left side for the past five the last six months symptoms had beenmore severe. On examination, urethral stric-ture was found with a stone acting as a ballvalve. By internal urethrotomy with injectionof oil the stone was milched out without diffi-culty. My own case was that of a boy, age 5. Forthree years the child had been suffering withpain in the abdomen and at times passedbloody urine. The pain was paroxysmal, fre-quently bringing on convulsions. For the pastsix months micturition has been difficult, theurine passing drop by drop. The child wasvery nervous and every few minutes screamedwith pain. Urine contained pus. On examin-ation a stone the size of a quails egg couldbe felt in the membranous urethra. Stone removed by external urethrotomy and th
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