JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018 - 93

Abstracts
Greek influence being through the existence of Latin. It is
clear from these examples that Greek mythology has had
a significant impact on common urological terms.
U5 When in Rome: the reversal of
circumcision described by Aulus Cornelius
Celsus (c. 25 BC - c. 50 AD)
Brittain J1, Connor M2
Cross Hospital, London, United Kingdom, 2St George's
Hospital, London, United Kingdom

1Charing

Introduction: The ancient Roman celebration of the
naked human body is still apparent today, but the appearance of an uncovered glans was treated with distaste or
amusement in contemporary writings. Encyclopaedist
Aulus Cornelius Celsus (c. 25 BC - c. 50 AD) described
two techniques for prepuce reconstruction, which he
referred to as "decircumcision" in his work De Medicina.
Methods: A non-systematic search of electronic journals
and online archives regarding Celsus and his writings on
surgery.
Results: Celsus' descriptions of decircumcision required
circumferential degloving and advancement of the penile
skin. The first technique was recommended for 'children
or those with congenitally shortened foreskin'. An incision
at the base of the penis is made and penile skin advanced
distally and stretched over the glans, creating a double layered prepuce. The distal skin is then ligated to prevent
retraction.
In the second approach for 'intentionally circumcised
adults', a coronal incision is made around the glans deep to
the dartos fasica into an avascular plane, and the skin is
dissected off the length of the penis.The free skin is pulled
distally and a non-adherent dressing is applied between
the glans and the penile skin until epithelisation occurs.
Celsus gave instruction for making the non-adherent
dressing dressings which contain lead oxide to prevent
inflammation.
Food was withheld for days postoperatively in the belief
that a weak and hungry state prevents erections.
Conclusion: Celsus' description of preputial restoration
gives insight into the development of urological surgery in
antiquity and the cultural attitudes towards circumcision.
U6 Henry Hugh Clutton: of stones and bones
Mahesan T1, Drummond L1, Ali A1
Park Hospital, Surrey, United Kingdom

1Frimley

Henry Hugh Clutton was born on July 12th 1850 at Saffron
Waldon. He attended Marlborough College before being
admitted to Clare College, Cambridge. From 1872 he
studied at St Thomas's Hospital where he became a full
surgeon in 1891. An avid and enthusiastic teacher, he was

93
notorious for his style of describing surgical practice in
terms of pathology rather than anatomy.
Eponyms: In 1886, the Lancet published "Symmetrical
Synovitis of the Knee in Hereditary Syphilis", in which
Clutton detailed 11 cases of affected children. He correctly predicted that in time, evidence would demonstrate
that the condition affected many joints, not limited to the
knees, and in subsequent literature this is now well documented. In time this symmetrical hydrarthrosis came to be
known as 'Clutton Joints'. Clutton Sounds were introduced to England by Clutton, but in fact their initial designs
hails from Fessendon Nott Otis, an American surgeon.The
extent of Clutton's contribution to the design and distribution of these instruments remains unclear.
The final of the Clutton eponynms is the Clutton curve
introducer. A direct link to Clutton himself remains
unlikely as Frederic Foley described his catheters over 20
years after Clutton's death, but the shape of the introducer undoubtedly mimics Clutton's hockey shaped urethral dilators.
Other pursuits and ill health: Outside of practice, Clutton
took on a number of roles, including that of the last president of the Clinical Society. His health remained frail
throughout his life and he subsequently died at home aged
59 after a prolonged illness.
U7 Mastering stones and bones: Henry Jacob
Bigelow (1818 - 1890)
Connor M1, Brittain J2
George's University Hospitals NHS Foundation Trust, London,
United Kingdom, 2Charing Cross Hospital, Imperial College
Healthcare NHS Trust, London, United Kingdom
1St.

Introduction: In the early 19th century 'lithotrity'
emerged as the treatment for bladder calculus and an
alternative to the then much feared 'cutting for the stone'
of lateral-perineal or supra-pubic lithotomy. Lithotrity was
then performed in multiple sessions, causing complications as stone fragments were left to pass. Henry Jacob
Bigelow (HJB), a Professor and surgeon at Harvard
University, augmented lithotrity pioneering a new procedure known as 'litholapaxy'.
Methods: A non-systematic search of the literature of
electronic journals, books and online archives was performed pertaining to HJB's urological research.
Results: HJB wrote his seminal paper 'lithotrity in a single
setting' in 1878. Building on the work of Sir Philip
Crampton and Dr Joseph Clover, HJB challenged the view
at that time that extreme brevity was required in stone
surgery, born from the misinterpretation of data relating
to post-instrumentation sepsis. HJB took the opinion that
all stones should be cleared in a single session under general anaesthetic irrespective of operating time. HJB made
three distinctive changes: i) increasing the evacuating tube



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