Hematuria : a study from the practitioner's standpoint / by Victor Cox Pedersen.

  • Pedersen, Victor Cox, 1867-1958.
Date:
1913
Catalogue details

Licence: In copyright

Credit: Hematuria : a study from the practitioner's standpoint / by Victor Cox Pedersen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    rupture, while a smaller hemorrhage means intra- peritoneal extravesical rupture. A distinction between the two may be made with the aid of the catheter to see how much blood and urine are in the bladder and with rectal examination for fluctua- tion in the pelvic peritoneum. Where a careful diagnosis of hematuria may lead is exemplified by the discovery of two stones in the bladder of an old man by cystoscopy and radiography. He gave a few symptoms, ascribed by his family physician to enlargement of the pros- tate, which on rectal examination and exploration of the bladder with the catheter, was found to be obviously hardly enlarged enough to account for his suffering. There had been one very slight attack of bleeding and no classical symptoms of stone. The cystoscope revealed two calculi about the size of birds’ eggs, lying close together in the retro- prostatic pouch in the midst of fairly normal mucous membrane. Litholapaxy relieved the disease. The patient is now being watched for changes in the prostate. The importance of vesical hemorrhage is illus- trated by the following case, referred to me a few days ago. Case. H. C. U., United States, white, forty years old, married, salesman, venereal disease denied. Sexual habit moderate. Had been bleeding off and on from the blad- der for nearly four years; cause unknown; no emaciation, fever, or pyuria; bleeding excited by constipation, cathar- sis, and diarrhea; during attacks of bleeding, urine always colored, especially at the end of the function; no gravel or stones; pain in the penis occasional and sharp; fre- quency every four hours by day, every eight hours by night; urgency moderate and occasional both with and without the bleeding, likewise tenesmus; degree of hemor- rhage constant for the past four years without great in- crease; amount a few drops after urination, never a glass- ful; persisted for a day, rarely more; recurred every four or five days each month, so that in each week he had blood for a day or so and in each month for a week or so; bleeding intermitted sometimes in a given day; effort to evacuate all urine brought blood exactly like constipa- tion; riding in railway trains and automobiles did not pro- voke the bleeding.