. A new manual of surgery, civil and military. ance of pus therein. The use of the cystoscope and catheterization ofthe ureters, combined with radiography, is of great importance in the diag-nosis of renal tuberculosis. If the diagnosis is made before both kidneys are involved, the plan oftreatment is very clear, which is early removal of the affected kidney. The operation of nephrectomy, as described below, should be carried out inthese cases, but should embody the following points: removal of the ureter aslow down as possible and a thorough cauterization of the stump, and as com-plete a remo
. A new manual of surgery, civil and military. ance of pus therein. The use of the cystoscope and catheterization ofthe ureters, combined with radiography, is of great importance in the diag-nosis of renal tuberculosis. If the diagnosis is made before both kidneys are involved, the plan oftreatment is very clear, which is early removal of the affected kidney. The operation of nephrectomy, as described below, should be carried out inthese cases, but should embody the following points: removal of the ureter aslow down as possible and a thorough cauterization of the stump, and as com-plete a removal of the fatty capsule as feasible. The wound should be closedcarefully without drainage, unless it seems probable that the parts have beencontaminated at the time of operation. 552 SURGERY OF THE GENITO-URINARY TRACTNEPHRECTOMY When we find the kidney hopelessly destroyed by infection, or from amalignant growth of the organ, a nephrectomy^ can be done through the sameincision that we use for a nephrotomy. In case a diagnosis of a malignant. ^
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