Operative gynecology : . ule, it is sufficient to remove the cause to effect a cure, and this will be done inthe instances cited by lithotomy, or by nephrectomy, or by nephro-ureterectomywhen the ureter is involved too, or by relieving a prolapsus of the uterus and CYSTITIS. 455 the bladder, and washing out the stagnant urine two or three times daily withwarm boric acid solutions (2 to 3 per cent). Prophylaxis is of the utmost importance in the prevention of cystitis. Bythe exercise of due prophylactic care some of the worst cases could be but an intelligent, well-instructed nur
Operative gynecology : . ule, it is sufficient to remove the cause to effect a cure, and this will be done inthe instances cited by lithotomy, or by nephrectomy, or by nephro-ureterectomywhen the ureter is involved too, or by relieving a prolapsus of the uterus and CYSTITIS. 455 the bladder, and washing out the stagnant urine two or three times daily withwarm boric acid solutions (2 to 3 per cent). Prophylaxis is of the utmost importance in the prevention of cystitis. Bythe exercise of due prophylactic care some of the worst cases could be but an intelligent, well-instructed nurse ought to catheterize a puerperalwoman. Every time the bladder is catheterized, the external urethral orificeand its surrounding parts ought to be carefully cleansed and after this an asepticcatheter should be used. The bladder must also not be allowed to become over-distended. If this occurs and repeated catheterizations are necessary, cystitis,sometimes in a very troublesome form, is apt to occur. Where such repeated. Fig. 272.—-Tubercular the markedly thickened vesical walls and the method of palpating the bladder bimanually. catheterizations are necessary, it is best to irrigate the bladder each time with awarm boric acid solution, and to give small doses of urotropin, say about threegrains every four hours. Treatment of Acute Cystitis.—An expectant palliative plan of treatmentshould be pursued in acute cases; under these circumstances local treatment orinterference of any sort aggravates the intensity of the inflammation. Thepatient must stay in bed in a warm room, the bowels be kept open, and thediet reduced to liquids and soft food; all stimulants must be prohibited. Pro-longed hot vaginal douches, lasting fifteen to twenty minutes, given three timesdaily, help to relieve the congestion; hot applications should be kept on thelower abdomen, if they give comfort. Hot sitz baths and dry hot bran bagsare also valuable adjuvants. While the pain is excessi
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
