A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Ureteral catheter. ter is easily accomplished by means of the cystoscope. Ureteralcatheterization is employed to obtain and test the secretion from onekidney, to diagnosticate obstruction, to medicate the renal pelvis andto render prominent the position of the ureters and avoid injury dur-ing intra-abdominal operations. DISEASES AND INJURIES OF THE BLADDER. Methods of Examination. The bladder is explored by the introduction of a
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Ureteral catheter. ter is easily accomplished by means of the cystoscope. Ureteralcatheterization is employed to obtain and test the secretion from onekidney, to diagnosticate obstruction, to medicate the renal pelvis andto render prominent the position of the ureters and avoid injury dur-ing intra-abdominal operations. DISEASES AND INJURIES OF THE BLADDER. Methods of Examination. The bladder is explored by the introduction of a metal instrument,called a sound or stone searcher, with which irregularity of its wall or Fig. Illumination of anterior vesical wall by Nitzes cystoscope. a contained body, like a calculus or tumor, is recognized. Palpationby means of a finger in the rectum, or vagina and bimanual examina-tion, with one hand on the hypogastrium while a finger of the other CONGENITAL MALFORMATIONS. 725 hand is in the vagina or rectum, may at times furnish valuable infor-mation. Dilatation of the female urethra will permit the introductionof an examining finger. A similar exploration in men can only be madeafter suprapubic or perineal cystotomy. The electric cystoscope, whichconsists of a hollow tube, or small telescope, with a prism and an electriclamp at the end, permits the interior of the bladder to be seen andchanges in its color or contour determined. Fig. 404. B H V - ff Congenital Malformations. The chief malformations of the bladder are absence of the anteriorwall, called exstrophy, a division of the viscus into two cavities by aseptum, and persistent patency of the urachus. Exstrophy of
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