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[Bladder stones and lithotomy: a vanished ailment as the basis of urology].
Ned Tijdschr Geneeskd. 2006 Dec 23; 150(51):2805-12.NT

Abstract

Urinary bladder stones have played a role in medicine for ages. Many examples of this disease can be found in Dutch history. The need to cure this ailment led to the development of extremely painful interventions, for which self-appointed specialists very soon came forward and were then employed in this capacity in the cities. The various interventions were: perineal lithotomy using either the 'apparatus minor' or the 'apparatus major', lateral lithotomy, cutting for stone 'in two trips', suprapubic cystotomy, and ultimately lithotripsy. Bladder stones have largely disappeared from contemporary medicine and now represent only 5% of all urinary-tract stones, the main groups at risk being men with prostate hypertrophy, whether or not surgically treated, and women previously operated on for incontinence. Bladder stones are now seen mainly in developing countries. The dangerous operations via an extravesicular route have now been replaced by transurethral procedures in which the stone is disintegrated with the aid of an electric charge, shock waves or ultrasound. In an early stage, this ailment was the incentive for the development of a separate medical specialty: urology.

Authors+Show Affiliations

Keeman JN
jnkeeman@xs4all.nl

MeSH

CystostomyHistory, 15th CenturyHistory, 16th CenturyHistory, 17th CenturyHistory, 18th CenturyHistory, 19th CenturyHistory, 20th CenturyHistory, AncientHistory, MedievalHumansMaleNetherlandsUrinary Bladder CalculiUrology

Pub Type(s)

English Abstract
Historical Article
Journal Article

Language

dut

PubMed ID

17216729

Citation

Keeman, J N.. "[Bladder Stones and Lithotomy: a Vanished Ailment as the Basis of Urology]." Nederlands Tijdschrift Voor Geneeskunde, vol. 150, no. 51, 2006, pp. 2805-12.
Keeman JN. [Bladder stones and lithotomy: a vanished ailment as the basis of urology]. Ned Tijdschr Geneeskd. 2006;150(51):2805-12.
Keeman, J. N. (2006). [Bladder stones and lithotomy: a vanished ailment as the basis of urology]. Nederlands Tijdschrift Voor Geneeskunde, 150(51), 2805-12.
Keeman JN. [Bladder Stones and Lithotomy: a Vanished Ailment as the Basis of Urology]. Ned Tijdschr Geneeskd. 2006 Dec 23;150(51):2805-12. PubMed PMID: 17216729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Bladder stones and lithotomy: a vanished ailment as the basis of urology]. A1 - Keeman,J N, PY - 2007/1/16/pubmed PY - 2007/2/21/medline PY - 2007/1/16/entrez SP - 2805 EP - 12 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 150 IS - 51 N2 - Urinary bladder stones have played a role in medicine for ages. Many examples of this disease can be found in Dutch history. The need to cure this ailment led to the development of extremely painful interventions, for which self-appointed specialists very soon came forward and were then employed in this capacity in the cities. The various interventions were: perineal lithotomy using either the 'apparatus minor' or the 'apparatus major', lateral lithotomy, cutting for stone 'in two trips', suprapubic cystotomy, and ultimately lithotripsy. Bladder stones have largely disappeared from contemporary medicine and now represent only 5% of all urinary-tract stones, the main groups at risk being men with prostate hypertrophy, whether or not surgically treated, and women previously operated on for incontinence. Bladder stones are now seen mainly in developing countries. The dangerous operations via an extravesicular route have now been replaced by transurethral procedures in which the stone is disintegrated with the aid of an electric charge, shock waves or ultrasound. In an early stage, this ailment was the incentive for the development of a separate medical specialty: urology. SN - 0028-2162 UR - https://www.unboundmedicine.com/medline/citation/17216729/[Bladder_stones_and_lithotomy:_a_vanished_ailment_as_the_basis_of_urology]_ DB - PRIME DP - Unbound Medicine ER -