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August 2, 1919, Vol 73, No. 5 >
ARTICLE | August 2, 1919

URETERAL TRANSPLANTATION IN INOPERABLE CONDITIONS OF THE BLADDER

WILLIAM E. LOWER, M.D.
JAMA. 1919;73(5):328-330. doi:10.1001/jama.1919.02610310022007.
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ABSTRACT

Perhaps no class of patients makes a more piteous appeal to the surgeon than those with inoperable new growths in any location. And perhaps saddest of all are those patients with growths of the bladder in which the irritation and pain are constant and intense and a resection cannot be made, because either the entire bladder is involved or the area around the internal sphincter—conditions which preclude the possibility of a resection and restoration of function. In most of these cases the suprapubic drain does not give the desired relief, for it does not prevent the urine from coming through the bladder and flowing over the raw and ulcerated surfaces. Even large doses of opium do not afford much relief. The only possible method by which any relief can be secured is by preventing the stream of urine from passing through the bladder.

This may be accomplished by transplanting the

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