. 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. 25.—Base of bladder with stone impacted in ureter immediately above it.[Westminster Hospital Museum, No. 834.). Fig. 26.—Sacculated kidney caused by calculus impacted in lower end of same subject as Fig. 25. (Westminster Hospital Museum, No. 820.) If there be a stone in the ureter, the catheter Avill beobstructed at the point of impaction. In the ma
. 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. 25.—Base of bladder with stone impacted in ureter immediately above it.[Westminster Hospital Museum, No. 834.). Fig. 26.—Sacculated kidney caused by calculus impacted in lower end of same subject as Fig. 25. (Westminster Hospital Museum, No. 820.) If there be a stone in the ureter, the catheter Avill beobstructed at the point of impaction. In the male, whether OPERATIONS ON THE KIDNEY AND URETER, 121 this point be in the abdominal or the pelvic course of theureter, the calculus can be reached and removed retroperi-toneally, by prolonging the anterior or lower end of theincision in the direction mentioned before. In the female the same procedure answers for the ab-dominal and first portion of the pelvic course of the ureter;but for the removal of a calculus from the ureter within thebroad ligament, especially near the uterus or vagina, thevaginal or sacral route is the best. If situated quite atthe vesical orifice of the ureter, it can be extracted throughthe bladder after dilating the urethra and, if needful, slightlyincising the ureteral orifice. No attempt should be madeto extra
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