Stone in the bladder is extremely rare among
the wild Indians, owing, no doubt, to their almost exclusive meat
diet and the very healthy condition of their digestive organs,
and this fact, in connection with the age of the patient and the
unobstructed condition of his urethra, went very far to sustain
this conclusion. On August 23d I removed the stone without
difficulty by the lateral operation through the perineum. The
lobe of the prostate was enlarged, which seemed to favor the
extent of the incision beyond what would otherwise have been
safe. The perineum was deep and the tuberosities of the ischii
unnaturally approximated. The calculus of the mixed
ammoniaco-magnesian variety was egg-shaped, and weighed 19 drams.
The arrow-point was completely covered and imbedded near the
center of the stone. It was of iron, and had been originally
about 2 1/2 inches long, by 7/8 inch at its widest part, somewhat
reduced at the point and edges by oxidation. The removal of the
stone was facilitated by the use of two pairs of forceps,--one
with broad blades, by which I succeeded in bringing the small end
of the stone to the opening in the prostate, while the other,
long and narrow, seized and held it until the former was
withdrawn.
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