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If the stone is increasing in size, the quantity of sediment also increases, but if the stone is fully formed and confirmed, the amount of sediment decreases daily, and the urine becomes milky both in the kidneys and the bladder. Patients suffering from vesical calculus are always constipated, and the dysuria may increase to the degree called furia, a condition not without some danger.
It was a pedunculated growth, and it was undoubtedly vesical and not expelled from some ovarian source through the urinary passage, as sometimes occurs. The simpler forms of the ordinary dermoid cysts contain bone and teeth.
Vesical power is also commonly believed to be in relation with sexual potency, and the inability to project the urinary stream in a normal manner is one of the accepted signs of sexual impotency.
Gilbert's medical treatment of vesical calculus consists generally in the administration of diuretics and lithontriptics and the local application of poultices, plasters and inunctions of various kinds. Of the lithontriptics, certain combinations, characterized by famous names or notable historical origin, are evident favorites.
In discussing the analysis of the sexual impulse in a previous volume of these Studies, I have pointed out the remarkable relationship sometimes of transference, sometimes of compensation which exists between genital tension and vesical tension, both in men and women.
A rectovaginal or vesical fistula could account for the presence of this worm had it been voided from the bowel; nevertheless the woman adhered to her statement that she had urinated the worm, and, as confirmatory evidence, never complained of pain after passing the animal. Morand mentions an instance in which a long wax taper was introduced into the bladder through the urethra by a man.
We will terminate our hasty review of diseases discussed in the Compendium by an abstract of Gilbert's views on vesical calculus and its treatment, which cover more than fifteen pages of his work. Stone and gravel arise from various viscous superfluities in the kidneys and bladder, which occasion difficulty in micturition.
Duncan cites an instance of epilepsy connected with vesical calculus that was cured by lithotomy. Museroft mentions an analogous case. Greenhow speaks of epilepsy arising from an injury to the thumb. Garmannus, early in the eighteenth century, describes epilepsy arising from fright and terror. Bristowe in 1880, and Farre speak of similar instances.
The Ephemerides speaks of a case of coalition of the bladder with the os pubis and another case of coalition with the omentum. Prochaska mentions vesical fusion with the uterus, and we have already described union with the rectum and intestine. Exstrophy of the bladder is not rare, and is often associated with hypospadias, epispadias, and other malformations of the genitourinary tract.
"Some physicians," says Matthiolus, "use the ashes of scorpions, burnt alive, for retention caused by either renal or vesical calculi. But I have myself thoroughly experienced the utility of an oil I make myself, whereof scorpions form a very large portion of the ingredients.
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