Two Cases of Suprapubic Cystotomy for Vesical Tumour

G. Barling
1888 BMJ (Clinical Research Edition)  
LJuly 7, 1888. dealt with. Considering the marked manner in which Sir Henry Thompson calls attention to the cases of small calculi removed by me, and the importance he seems to give to his having no calculi below 20 grains in his list, it might be reasonably anticipated that he is in the habit of dealing with larger stones than 1 am; and that the average weight of his calculi would show a large excess over that of mine. But what are the facts of the case? I refer the reader to the very able
more » ... graph on Lithotrity, in Ileath's Dictionary of Surgery, written by Mr. Cadge, of Norwich, in which, in a kindly notice of my work, he points out that the average weight of stone in my first 108 cases of litholapaxy was 317 grains (nearly j of an ounce), whereas the average weight in Sir Henry Thompson's 75 cases (lone by Bigelow's method was 130 grains a little over if of an ouince). That is to say the average weight of my calculi was nearly two and a half times larger than Sir Henry Thompson's. These facts dispose of the erroneous impression I have referred to. A. W., agedl 65, for the last three years has suffered from frequent and paiuf ili micturition, much fggravated by exercise. He had to give up riding oII account of the pain it caused, and because of the quantity of blood passed with the urine afterwards. On December 16lth, 1887, 1 sounded him, and at once came down on a stoone that seemed to be of considerable size. LIe was anxiouis for its removal, saying hle would sooner die than suffer as he had been doin;g lately. On January 4th, 1888, Dr. MBcBurney administered chloroform and Dr. Clarkson assisted me with the operation. A Barnes's indiarubber bag was first put into the rectum and distended with air. A silver catheter was then passed into the bladder and tied in, and
doi:10.1136/bmj.2.1436.14-a fatcat:xllipsxaijfcpaw7dtwzpiibfu