In severe cord injuries, one of the most frequent complications is infection of the urinary tract. The infection is difficult to treat and often proves to be a potent factor in hastening the death of the patient. Before the war, when cases of cord injuries were not commonly seen in groups, it was more or less casually admitted that infection of the urinary tract would eventually take place, though the treatment of the bladder in these cases was in no way standardized or especially considered. With the exception of the advice of Sir Victor Horsley, who, several years ago, advocated the drainage of the bladder in cases of cord injury in which there were badly infected urinary tracts, no outstanding consideration of the subject is found in the literature until after the advent of the recent war. One of the first notes sounded at that time was by F. A.
JAMA – American Medical Association
Published: Feb 19, 1921