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Article
September 28, 1907

THE SURGICAL TREATMENT OF URETERAL CALCULUS IN THE FEMALE.

Author Affiliations

Consulting Gynecologist to the Quincy City Hospital, Gynecologist to the Boston Dispensary, and to Out-Patients at St. Elizabeth's Hospital. BOSTON.

JAMA. 1907;XLIX(13):1098-1103. doi:10.1001/jama.1907.25320130032001m
Abstract

The treatment of ureteral calculus in the female differs essentially from that in the male, owing to anatomic considerations. In the male, the comparatively straight course of the ureter from the kidney down to the bladder, and its position on the pelvic wall, make access to it comparatively easy through an extraperitoneal incision. In the female, however, the broad ligament, placed, as it is, directly above the most dependent portion of the ureter, renders access to the deep pelvic portion of the ureter a matter of some difficulty. Stones in either sex, impacted at any portion of the ureter from the kidney to the superior strait, are easy to remove. Stones in the female, impacted at any point between the base of the broad ligament and the bladder, are accessible through the vagina in the majority of instances; but stones in the female lying between the superior strait and the

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