Diseases of the Genito-Urinary Organs Considered from a Medical and Surgical Standpoint

Diseases of the Genito-Urinary Organs Considered from a Medical and Surgical Standpoint

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1910 edition. Excerpt: ...organ and the oldest bladder lesions are about the trigone, where they can least well be excised. Moreover, an operative failure entails dire results. The patient may 1x3 relieved of his dysuria, but he is condemned to a permanent tubercular fistula, if the operation has been performed as a last resort, with this permanent fistulization in view, the patient may well be content to put up with it; but if he finds himself, without any warning, condemned for life to a foul fistula, a leg urinal, and a filthy bed, his gratitude to the surgeon will be slight indeed. TIence, early operation is not indicated; there is too much to lose and too little chance of gain. It is generally conceded that operation is required only when local treatment has failed completely and the patient is unable to support his agony. Then the prospects may be clearly set before him: the slight chance of permanent cure, the possibility, the advantages, and the disadvantages of permanent fistula. Tf the patient is willing to risk everything on the chance of improving his condition, the surgeon may then proceed with a clear conscience to do what he can. The selection of operation must be left to the surgeon's judgment. If the patient is far gone with renal or pulmonary disease a simple suprapubic cystotomy, with permanent drainage, will give the best results. Extirpation of the whole mucous membrane has even been resorted to (Delageniere ), while such lesser operations as excision of an ulcer or cutting down the neck of the bladder are frequently performed. The results have been unalluring. In a few cases the excision of tubercular ulcerations has effected a cure, but in most the vesical tuberculosis has relapsed and the spread of the disease in other organs has been...show more

Product details

  • Paperback | 396 pages
  • 189 x 246 x 21mm | 703g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236745027
  • 9781236745026