. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 174.—Ureteral catheter. {Pawlik-Kelly.) I mention here the ordinary causes of cystitis in women,although for the reason given I do not enter into detailabout them. 1. Retention of urine, from any cause, if prolonged enough,may set up cystitis. The causes of retention of urine I shalldescribe in the next chapter. 2. Entrance of microbes.—The microbes most often toblame are the gonococcus, and the microbes found in the lochiaof puerperal women, the various kinds of which are often com-prehensively denoted by the adjecti
. Diseases of women. A clinical guide to their diagnosis and treatment. Fig. 174.—Ureteral catheter. {Pawlik-Kelly.) I mention here the ordinary causes of cystitis in women,although for the reason given I do not enter into detailabout them. 1. Retention of urine, from any cause, if prolonged enough,may set up cystitis. The causes of retention of urine I shalldescribe in the next chapter. 2. Entrance of microbes.—The microbes most often toblame are the gonococcus, and the microbes found in the lochiaof puerperal women, the various kinds of which are often com-prehensively denoted by the adjective septic. The latter are. Fig. 175.—Flexible ureteral catheter. {Pawlik-Kelly.) often carried in by the catheter: we know not how thegonococci get in. A catheter which is often used should bekept lying in solution of sublimate 1-2000, and should belubricated with sublimate glycerine before use. The partsaround the meatus urinarius should be washed, or wipedwith sublimate glycerine before an attempt is made to passthe catheter. We know not all the conditions upon whichthe power of microbes to cause cystitis depends, for some-times alter abdominal section cystitis will develop in spite ofantiseptic precautions, while catheterism of healthy young 676 DISEASES OF WOMEX. women for hysterical retention was hardly ever followed bycystitis, even in pre-antiseptic times, when no precautions toensure the cleanliness of catheters were taken. 3. New growths in the bladder—tubercle, cancer, polypi,villous growths. These are all rare. They all cause hema-turia, as well as pyuria. I should expect that a tubercularbladder
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