Details

Calculus from a urinary bladder

GC.10265

Urinary bladder. A calculus from the Removed from a male aged 73 years The bladder had been “irritable” since every manhood but had not tended to grow worse. The stream for some time had been rather small, but there had been no delay in starting urination and never occasion to rise during the night. Two days before seeking advice, blood had appeared in the urine. On examination the prostate was uniformly enlarged an elastic. There was no clinical evidence of much retention of urine. After a few days the urine became clear and. an attempt was made to do a cystoscopy, but difficulty was encountered in negotiating the prostate. Following this the patient had retention of urine. A cystotomy was done and the large speculated calculus removed and the enlarged prostate enucleated. Apart from a transient epididymitis the patient made a satisfactory recovery. The calculus consists of calcium oxalate and urates and presents radiating branched and beaded spicules. The maximum diameter of the calculus is almost 4 cms.

Twentieth century