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There are but two operative methods now considered practical for the treatment of stone in the urinary bladder. One is the crushing of the stone and the removal of the fragments through the urethra; the other is the opening of the bladder suprapubically and the removal of the stone through the incision.
He would be obdurate indeed who did not acknowledge the wonderful invention of the lithotrite and the achievements accomplished by its inventor. At a time when any cutting operation carried with it such a high mortality and the convalescence was so prolonged in those who survived, the lithotrite, with the skilful touch of Bigelow, was truly a blessing; but the conditions that prevailed then with regard to the cutting operation no longer exist to-day. Little advancement, if any, has been made for the crushing operation, while each year brings a better record for the suprapubic operation.
LOWER WE. SUPRAPUBIC CYSTOTOMY FOR VESICAL CALCULUS: INDICATIONS AND OPERATIVE PROCEDURE. JAMA. 1912;LIX(22):1956–1959. doi:10.1001/jama.1912.04270110370009
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