. Modern surgery, general and operative. eding from the mucous membrane and hemorrhage into the bladderwalls. After the bladder has been emptied the patient is wrapped in blankets, abag of hot water is placed against the perineum, and a hot-water bag is laid uponthe hypogastric region. If no anesthetic has been used, he is given, at once afterthe operation, a suppository of opium and beUadonna. If an anesthetic has beenused, he is given the suppository when he recovers from the effect of the anes-thetic. Tablets of salol and boric acid are administered during the severaldays which immediately
. Modern surgery, general and operative. eding from the mucous membrane and hemorrhage into the bladderwalls. After the bladder has been emptied the patient is wrapped in blankets, abag of hot water is placed against the perineum, and a hot-water bag is laid uponthe hypogastric region. If no anesthetic has been used, he is given, at once afterthe operation, a suppository of opium and beUadonna. If an anesthetic has beenused, he is given the suppository when he recovers from the effect of the anes-thetic. Tablets of salol and boric acid are administered during the severaldays which immediately follow the operation. If the cause of retention isorganic stricture, try to pass an elastic, olivary pointed catheter (Fig. 959, a).Do not use any force until the neck of the elastic catheter is well engaged inthe stricture. Then an experienced operator may warily use a certain amountof force, but never an amount which much exceeds the slightest. If it is foundimpossible to pass an elastic instrument, make an attempt to carry a filiform. Fig. 959.—a, French olivary gum catheter; b,Merciers elbowed catheter (coude); c, Merciersdouble-elbowed catheter (bicoude); d, curved gumcatheter. 1460 Diseases and Injuries of the Genito-urinary Organs whalebone bougie into the bladder. Fig. 960 shows filiform bougies. If thehistory shows that the man has long had an organic stricture, do not wastetime with the gum catheter, but at once j^roceed to use the liliform this bougie, after it has been inserted, Gouleys tunnelled catheter canperhaps be threaded (Fig. 961) and carried into the bladder. Instead of carry-ing in the catheter, we can simply leave the filiform bougie in place and fasten V
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