Re: 'how Hugh Hampton Young's treatment of President Woodrow Wilson's urinary retention and urosepsis affected the resolution of World War I,' Fogg R, Kutikov A, Usso RG, Canter D, J urol 2011;186(3):1153

摘要

In 1919 following World War I, President Wilson barnstormed the United States by train in an effort to enlist public support for the League of Nations. While on this trip he suffered thrombosis of the right middle cerebral artery resulting in a dense left hemiparesis and two weeks later he developed acute urinary retention. Dr. Henry Fowler, a Washington urologist who had been trained by Hugh Hampton Young, was called but was unable to catheterize him. After the President had not voided for thirty hours, Young came to the White House. In his autobiography [1], Young states that although he considered a suprapubic cystotomy he believed that the President could not stand the shock of this operation and recommended conservative measures. In their article, Fogg et al. give the impression that Wilson remained septic and in retention for 4 days and conclude that "it is reasonable to suppose that the functional deficits sustained by Wilson were exacerbated by the sepsis following the stroke." The authors conclude that "he emerged greatly weakened and was unable to defend the virtues of the Treaty of Versailles and The League of Nations" and as a result this failure "inexorably led to World War II."