Nearly every surgeon is occasionally confronted with a case of symptomless, unilateral bleeding from the kidney, and in most instances he must face the difficult problem of solving the pathologic problem if possible and then directing his treatment accordingly.
The first purpose of this paper is to exclude those specific causes of unilateral hematuria, namely, stone, tuberculosis, new growths and hydronephrosis, and secondly to discuss only that type which has in the past been classified under the misnomer of "essential." In order that this term "essential" shall be aptly applied we must have a case of painless bleeding in which the kidneys show absolutely no infectious agent, no organic changes and no clinical evidence of functional insufficiency. We do not recognize that such a negative condition can exist with a hematuria, and believe that in every case of unilateral renal bleeding there occur definite changes in the kidney which act
PAYNE RL, MacNIDER WB. THE SURGICAL PROBLEM OF UNILATERAL SYMPTOMLESS HEMATURIA: ITS CAUSE AND SURGICAL RELIEF. JAMA. 1916;LXVII(13):918–923. doi:10.1001/jama.1916.02590130004002
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