. American journal of obstetrics and gynecology. ht renal pelvis il uroter l.) (pntient had iry). fices could not be seen until eystocele was reduced. No cystitis found. Eightureteral mound was veiy prominent. No obstruction in ureter to passage ofcatheter. On aspiration, the pelvis was found filled with about 14 of indigo carmine appeared in 35 minutes. Profuse flow from the kidney. Ca-pacity of renal pelvis was 35 Left ureteral mound was not as prominent asthe right. No obstruction in the ureter and no retention. Normal flow. Goodindigo-carmine output in 10 minutes. C


. American journal of obstetrics and gynecology. ht renal pelvis il uroter l.) (pntient had iry). fices could not be seen until eystocele was reduced. No cystitis found. Eightureteral mound was veiy prominent. No obstruction in ureter to passage ofcatheter. On aspiration, the pelvis was found filled with about 14 of indigo carmine appeared in 35 minutes. Profuse flow from the kidney. Ca-pacity of renal pelvis was 35 Left ureteral mound was not as prominent asthe right. No obstruction in the ureter and no retention. Normal flow. Goodindigo-carmine output in 10 minutes. Capacity of renal pelvis not —Eight sided hydronephrosis. 704 THE AMERICAN JOURNAL OP OBSTETRICS AND GYNECOLOGY Ovtimt—First 2 tours 90 , 4o per cent; second 2 hours 50 cc, 25 percent; four hours total 70 per cent. Urine examination of cystoscoiric specimen— right left urea microscopic many red blood cells, numerous numerous red blood cells epitlielial cells, few white blood many epithelial Kie. (i.—Pveli)Ki:im of tlio left untir . iiiiril ihIv:.< in Taso I. rompli-tprolapse. Capacity of loft ureter 50 , of right ureter 25 uroti-i- is marltiHl-ly diatended, tortuous and elongated. Tlie distal end is normal. The bladder con-tains bromide solution. Urine exaniMation on admission—Amt. Cliar. Beaction Sp. Gr. Alli. Sugar Microscopic clear acid 1030 faint 0 many hyaline casts and trace white blood cells. Blood chemistry—Urea nitrogen ; incoagulable nitrogen ; uric acid ;creatinin Blood prrssiirr—1(10/80. Pyplogrnm on right ureter taken. BRETTAUER AND RUBIX : HYDROURETER AND HYDRONEPHROSIS 705 Case 4.—C. B., aged forty-five; marj-ied 17 years, 3 diildron. Prolapse of 0years duration; no pessary had been worn by —Complete prolapse of uterus, oystocele. Cystoscopic findings—Bladder negative, both ureters eatheterized. Capacity ofleft ureter over 50


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