He
says that after the operation was completed the urine flowed in
abundance; he dressed the wound with lint dipped in an emollient
solution, and, being perfectly relieved from pain, fell into a
sound sleep. On the following day, M. Maldigny says, he was as
tranquil and cheerful as if he had never been a sufferer. A Dutch
blacksmith and a German cooper each performed lithotomy on
themselves for the intense pain caused by a stone in the bladder.
Tulpius, Walther, and the Ephemerides each report an instance of
self-performed cystotomy.
The following case is probably the only instance in which the
patient, suffering from vesical calculus, tried to crush and
break the stone himself. J. B., a retired draper, born in 1828,
while a youth of seventeen, sustained a fracture of the leg,
rupture of the urethra, and laceration of the perineum, by a fall
down a well, landing astride an iron bar. A permanent perineal
fistula was established, but the patient was averse to any
operative remedial measure. In the year 1852 he became aware of
the presence of a calculus, but not until 1872 did he ask for
medical assistance. He explained that he had introduced a chisel
through his perineal fistula to the stone, and attempted to
comminute it himself and thus remove it, and by so doing had
removed about an ounce of the calculus.
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