Note 67 — Chapter LIV · THE KIDNEYS.

In one case I carried out the following procedure, necessitated by cancer involving the urethra, the base of the bladder, the rectum, and the whole floor of the pelvis, in a female patient, the disease having attained a degree making urination or even catheterization impossible. I opened the abdomen, dissected out the right ureter from the bladder, implanted it into the appendix, and then dissecting the left ureter in the same way implanted it in the right, the intent being to direct the whole urinary stream into the colon and thus spare the bladder. The operation was not finally successful. I afterward found that this method had been tried experimentally by Jacobson, of Toledo, but without success.