. On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of subparietal injuries of the ureter . Fig. 22.—Ureters packed with calculi. The calculi in the ureter laid openare represented in the drawing arranged precisely as they were foundafter death. (Middlesex Hospital Museum.) in which the sex and ag^e are stated, there were 54 malesand 27 females. Forty-three out of the 81 occurred inpersons between 40 and 60 ; 15 over 60 years; 19 between20 and 40; one befo
. On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of subparietal injuries of the ureter . Fig. 22.—Ureters packed with calculi. The calculi in the ureter laid openare represented in the drawing arranged precisely as they were foundafter death. (Middlesex Hospital Museum.) in which the sex and ag^e are stated, there were 54 malesand 27 females. Forty-three out of the 81 occurred inpersons between 40 and 60 ; 15 over 60 years; 19 between20 and 40; one before 10 years of age and three between 10and 20. The youngest was aged six, and the oldest 80. Much importance ought to be attached to the antecedent 96 HUNTEBIAN LECTURES. history of patients who become the subjects of suppressionof urine from ureteral obstruction. Commonly they havehad several previous attacks of renal colic, or of lumbarpains, followed by the discharge of gravel or small stones,months, or even years, before the attack in which the anuriabegins. But cases have occurred of sudden suppression ofurine from obstruction by a calculus without a previous. Fig. 23.—The two kidneys of the same person, each blocked with a one first affected is atrophied, the other has been hypcrtrophied,and is becoming granulated. (Middlesex Hospital Museum.) attack of any kind. In such cases both kidneys have beensimultaneously obstructed, or one kidney has been destroyed^by disease of another kind, or has been congenitally absentor abnormal. Calculous anuria is often determined, or immediatelyinduced, by fatigue; a drive, or some other shaking move-ment, such as jumping from an omnibus, violent cough-ing, running rapidly, are some of the causes, in my owncases, which started the descent of the calculi from thekidney into the ureter. SYMPTOMS OF CALCULOUS ANURIA. 97 Symptoms.—The symptoms of calculous anuria are notsimply those of uraemia. They also differ in their mo
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