Interference with the discharge of urine may result from mechanical or functional causes. Obstruction of the urinary passages at any point—by a calculus, a stricture, a neoplasm, a twist or a kink, or by pressure from without—will have this effect; as may also disease of the kidneys, by preventing the secretion of urine. Suppression of urine at times results from reflex influences. Deficient elimination of urine, from whatever cause, will be followed by the development of uremia, although the skin, the bowels and the lungs may for a time vicariously assume the functions of the kidneys. This period is usually not a long one, and generally rather short, but an interesting case in which it extended over sixty hours, and relief was afforded by operative intervention, is reported by Jaffrey.1
The patient was a man, 53 years old, who had felt ill for several weeks and for a short
OPERATIVE RELIEF OF SUPPRESSION OF URINE OF LONG STANDING. JAMA. 1900;XXXIV(21):1347. doi:10.1001/jama.1900.02460210053009
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