. Surgery, its principles and practice . Fig. 224.—Gum Prostatic or Coude Catheter which can be Boiled. In certain cases the ordinary coude catheter will not pass, and we thenhave the excellent instrument of Guyon, the mandarin coude, shown inFig. 225, which gives extra curve to the gum catheter and facilitatesits passage. Such an instrument, however, is not to be given to a patient,nor is a silver catheter, but both may be necessary to the physician whois attempting catheterization. When the use of a catheter is thoughtadvisable, it should be done under proper aseptic and antiseptic pre-cauti
. Surgery, its principles and practice . Fig. 224.—Gum Prostatic or Coude Catheter which can be Boiled. In certain cases the ordinary coude catheter will not pass, and we thenhave the excellent instrument of Guyon, the mandarin coude, shown inFig. 225, which gives extra curve to the gum catheter and facilitatesits passage. Such an instrument, however, is not to be given to a patient,nor is a silver catheter, but both may be necessary to the physician whois attempting catheterization. When the use of a catheter is thoughtadvisable, it should be done under proper aseptic and antiseptic pre-cautions, and the patient should take 10 to 20 grains of hexamethylamin. Fig. 225.—Guyons Stilet to Facilitate Introduction of Catheter in Prostatic Hyper-trophy. and an intravesical irrigation of boric acid daily in order to keep downvesical infection and inflammation. Statistics show, however, that aside from its discomfort the catheterlife is far more dangerous than an early operation, and whenever it becomesevident that one is deahng with a definite hypertrophy of the prostatewith considerable residual urine and obstruction, it is certainly advisableto carry out a curative operation. The fact that it is possible to haveone hundred and twenty-eight consecutive cases without a death, manyof the patients being infirm old men, and with many complicationsas a result of long-continued catheter life, shows that with an earlyoperation the mortality should be nil, and the chances of restoring the 430 SURGERY OF THE PROSTATE. patient to a practically normal condition, without the complicationsproduced by vesical infection, excellent. In Emergencies.—Under em
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