AJMERE DISPENSARY. CASE OP PREPUTIAL CALCULUS.
iiy Surgeon J. D. Newman, M.D., Residency Surgeon, Jodhpore. The following was
officiating
as
case
Civil
unusual one:? " 0. R., a Hindoo
occurred to Surgeon at
me in February 1873, when J Ajmere, and is, I believe, an
cultivator, aged 54, was admitted into tb? dispensary on February 14th, suffering from what appeared at first sight to be simply pliymosis. On examination th? preputial orifice was found completely closed by adhesion of it9 circumference. The prepuce was darkly congested, and felt yerj hard and brawny. The urine dribbled away through threo tb? very narrow fistulous openings on the under surface of peuia. The patient stated that about 18 inoutha previous!/
June 1,
MORTALITY OF LITHOTOMY IN THE N. W. P.
1874.]
he had had several sores, (soft chancres they appear to have
been)
and
that,
on
their
healing,
the orifice had become closed.
He could not say whether the fistula had appeared before or after the closure. On slitting up the prepuce, lying in front of the glans penis, Was found a large calculus evidently phosphatic in its nature, which weighed on removal a little over three ounces. In shape it was irregularly oval, and its posterior surface was flattened and marked on either side by concavities, where the extremity of the glans had been in contact with it. Between these concavities a slight ridge marked the situation of the meatus. The sinuses through which the urine escaped were all behind the calculus over which the prepuce was tightly stretched. I have kept the stone as a specimen, and therefore not sxamined its structure. It is possible that a small stone or some gravel may have passed through the urethra, and being detained
by
the closure of the prepuce and small size of the fistulous have afforded a nucleus for the concretion afterwards deposited from the urine collected in its unusual prison
Openings, house.
The complete closure of the prepuce, ho very exceptional. Jodhpore, 10th April 1874.
as
in this case, must
15g
iiy Surgeon J. D. Newman, M.D., Residency Surgeon, Jodhpore. The following was
officiating
as
case
Civil
unusual one:? " 0. R., a Hindoo
occurred to Surgeon at
me in February 1873, when J Ajmere, and is, I believe, an
cultivator, aged 54, was admitted into tb? dispensary on February 14th, suffering from what appeared at first sight to be simply pliymosis. On examination th? preputial orifice was found completely closed by adhesion of it9 circumference. The prepuce was darkly congested, and felt yerj hard and brawny. The urine dribbled away through threo tb? very narrow fistulous openings on the under surface of peuia. The patient stated that about 18 inoutha previous!/
June 1,
MORTALITY OF LITHOTOMY IN THE N. W. P.
1874.]
he had had several sores, (soft chancres they appear to have
been)
and
that,
on
their
healing,
the orifice had become closed.
He could not say whether the fistula had appeared before or after the closure. On slitting up the prepuce, lying in front of the glans penis, Was found a large calculus evidently phosphatic in its nature, which weighed on removal a little over three ounces. In shape it was irregularly oval, and its posterior surface was flattened and marked on either side by concavities, where the extremity of the glans had been in contact with it. Between these concavities a slight ridge marked the situation of the meatus. The sinuses through which the urine escaped were all behind the calculus over which the prepuce was tightly stretched. I have kept the stone as a specimen, and therefore not sxamined its structure. It is possible that a small stone or some gravel may have passed through the urethra, and being detained
by
the closure of the prepuce and small size of the fistulous have afforded a nucleus for the concretion afterwards deposited from the urine collected in its unusual prison
Openings, house.
The complete closure of the prepuce, ho very exceptional. Jodhpore, 10th April 1874.
as
in this case, must
15g
