Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
FIG. 4, Plate 64.--The prostatic canal is contracted by the lateral
lobes, 4, 5; resting upon these, appear three calculi, 1, 2, 3, which
nearly fill the bladder. This organ is thickened and fasciculated. In
cases of this kind, and that last mentioned, the presence of stone is
readily ascertainable by the sound.
[Illustration]
Plate 64,--Figure 4.
FIG. 5, Plate 64.--The three prostatic lobes are enlarged, and appear
contracting the vesical orifice. In the walls of the bladder are
embedded several small calculi, 2, 2, 2, 2, which, on being struck with
the convex side of a sound, might give the impression as though a single
stone of large size existed. In performing lithotomy, these calculi
would not be within reach of the forceps.
[Illustration]
Plate 64,--Figure 5.
FIG. 6, Plate 64.--Two sacculi, 4, 5, appear projecting at the middle
line of the base of the bladder, between the vasa deferentia, 7, 7, and
behind the prostate, in the situation where the operation of puncturing
the bladder per anum is recommended to be performed in retention of
urine.
[Illustration]
Plate 64,--Figure 6.
FIG. 7, Plate 64.--A sac, 4, is situated on the left side of the
bladder, 3, 3, immediately above the orifice of the ureter. In the sac
was contained a mass of phosphatic calculus. This substance is said to
be secreted by the mucous lining of the bladder, while in a state of
chronic inflammation, but there seems nevertheless very good reason for
us to believe that it is, like all other calculous matter, a deposit
from the urine.
[Illustration]
Plate 64,--Figure 7.
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