ULCERATION OF THE BLADDER: SIMPLE, TUBERCULOUS, AND BY E. HURRY FENWICK, F.R.C.S., SURGEON TO THE LONDON HOSPITAL; SURGEON AND PATHOLOGIST TO LONDON J. & A. CHURCHILL 7 GREAT MARLBOROUGH STREET 1900 PREFACE. THE following pages embrace a special study of a difficult and an obscure subject-ulceration of the urinary bladder. The facts which are here recorded have been selected from clinical notes of patients who have been under observation long periods of time-some ten or fifteen years. Each fact has been fairly criticised, and probably many will stand the test of time and experience. The treatment is in its infancy; that suggested is not only open to criticism, but will undoubtedly be greatly modified as our knowledge of antitoxins increases and sero-therapy improves. 14, SAVILE ROW; May, 1900. E. HURRY FENWICK. CONTENTS. PAGE General characteristics of the acute perforating? ulcer- Facts illustrating the close relationship between some forms Primary tubercle of the bladder-Its two forms-Diffuse and localised-Situation of deposit in the diffuse form-Situa- tion of the solitary ulcer-Progress of a primary deposit- Symptomatology-The intermittency-The latency of the Tubercle invading bladder from a genital source 47 |