Clinical lectures on the surgical diseases of the urinary organs . — -WEISS- FlG. 22. been arrested and the wound carefully sponged, the face ofthe stricture comes into view, and the opening is searched for,and, when found, a small probe-shaped director (Fig. 22) ispushed through into the bladder. The stricture is cut on itsunder aspect by passing along the director a long narrowknife. The beak of a small blunt gorget (Fig. 23) is insertedin the groove of the director and guided thus into the Fig. 2 The staff, forceps, and director are removed, and a stoutflexible catheter, No. 12 En
Clinical lectures on the surgical diseases of the urinary organs . — -WEISS- FlG. 22. been arrested and the wound carefully sponged, the face ofthe stricture comes into view, and the opening is searched for,and, when found, a small probe-shaped director (Fig. 22) ispushed through into the bladder. The stricture is cut on itsunder aspect by passing along the director a long narrowknife. The beak of a small blunt gorget (Fig. 23) is insertedin the groove of the director and guided thus into the Fig. 2 The staff, forceps, and director are removed, and a stoutflexible catheter, No. 12 English scale, introduced throughthe urethra and along the gorget into the bladder, in whichposition it is fixed. Over this the edges of the wound arepartially closed by silkworm sutures, and the dressingsapplied. The catheter is retained for three or four days, or longer 4—2 _;j OPERATIVE TREATMENT OF STRICTURE if it does not cause irritation, the urine flowing its removal a full-sized steel dilator is introduced everysecond or third day whilst the wound is granulating, and atmore distant intervals when it completely clos This is a sound operation. It is sometimes a difficult one,requiring much patience, owing to the trouble that may arisein finding the orifice of the channel through the stricture. Agood light i> essential, and all oozing oi blood must hesubdued before searching tor the orifice. Alter this is foundthere may Ik- difficulty in Introducing the probe. One is. asa
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