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After strivings as long and as devious as the history of civilization, the problem of removing the stone from the urinary bladder may fairly be declared solved. That minor improvements in the crushing procedure or advances in the prevention of calculus disease are yet possible is not to be denied, but there can be no exaggeration in the assertion that no equally painful, disabling, and eventually destructive malady has been more perfectly placed within curative power; no more important surgical measure reduced nearer to proximate perfection.
To master, not by methods essentially preventive, a disease of like prevalence, passion and mortality, so completely, so quickly, by means most agreeable to the feelings of the patient, and yet with a mortality of probably from one to five per cent., is a surgical triumph unsurpassed. The achievement is also remarkable, if not unique, in the lines upon which it has been wrought.
THE INDICATIONS FOR LITHOTOMY.. JAMA. 1893;XX(9):255-256. doi:10.1001/jama.1893.02420360031003