A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . curable disease of surrounding organs which has begun * Trans. Amer. Gyn. Soc, 1901. 25 Urinary Sedatives. REFERENCE HANDBOOK OF THE JIEDICAL SCIENCES. to involve the bladder, such as cancer of the uterus inthe female. MANAtiEMENT OP THE UnETERS.—In the male themethod generall_v proposed has been the grafting of tlieureters into the bowel. In 100 cases collected by Boveethe ureter was grafted into the bowel separately 81 times;by the Maydl and Pozza
A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . curable disease of surrounding organs which has begun * Trans. Amer. Gyn. Soc, 1901. 25 Urinary Sedatives. REFERENCE HANDBOOK OF THE JIEDICAL SCIENCES. to involve the bladder, such as cancer of the uterus inthe female. MANAtiEMENT OP THE UnETERS.—In the male themethod generall_v proposed has been the grafting of tlieureters into the bowel. In 100 cases collected by Boveethe ureter was grafted into the bowel separately 81 times;by the Maydl and Pozza method, 44 times; into the ure-thra, 13 times; into the vagina, 8 times; and into theskin. 4 times. This is tlie most important question con-nected with the operation, and must be clearly under-stood. As the conditions in tlie male and the femalevary very much, dilTerent methods may be used in thetwo I will, therefore, first consider the methodsin the male. The lirst plan used by Bardenheuer was to Insert thecut ends of the ureters directly into the rectum. E,\-perimentalion upon the lower animals, by Peterson and. Fig. 4851.—Extirpation of the Bladder. The dotted line shows lineof incision. The ureter (») is roughly sliown entering the bladder. others, shows conclusively that this is an exceedinglydangerous method, as in almost every case, within acomparatively short time, infection travelled from thebowel to the kidney, and the animal died of this compli-cation. The same thing has been noted in man, and themethod is now considered so dangerous as to be practi-cally given up. Maydl pi-oposedthe removal of the trigone of the blad-der with the ureters, and the transplantation of this pieceof tlie mucous membrane of the bladder directly into theintestine. The results of this have been very muchbetter, as the natural valvular action at the end of theureters seems to prevent the ingress of infecting germs;so that many cases in which this has been performedhave been per
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