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May 15, 1948


Author Affiliations

Chief, Urology Section, Surgical Service, Walter Reed General Hospital; Resident in Urology, Walter Reed General Hospital Washington, D. C.

Read before the Section on Urology at the Ninety-Sixth Annual Session of the American Medical Association, Atlantic City, N. J., June 13, 1947.

JAMA. 1948;137(3):219-225. doi:10.1001/jama.1948.02890370001001

This paper presents the management of recurrent renal calculi in patients observed at Walter Reed General Hospital during the one year period April 1, 1946 to April 1, 1947. During this period, 13,977 patients were admitted to Walter Reed General Hospital; of these, 793 were treated in the surgical service of the urology section.

Only the patients treated by operative procedures are included herein. A large number were treated by measures other than operative—spontaneous passage, attempts at dissolution and manipulative procedures. Many of these were treated on the sections of neurology, (patients with paraplegia) and orthopedic surgery' (amputees). There were more than 1,500 cases of paraplegia resulting from battle casualties of World War II, 90 per cent of which were complicated by neurogenic conditions of the bladder. There were more than 15,000 amputees. The periods of hospitalization and recumbency resulted in a high percentage of complicating and recurrent renal calculi.