. American journal of obstetrics and gynecology. n the right side. On the left side the test tube filled con-siderably slower. Ureter orifices fairly small. Good concentration of indigo-car-mine on left side in 10 minutes; faintly on right. Introduced C of sterile waterinto loft ureter. Patient complained of severe pain on left side. Fifteen ofwater was introduced on right side before patient complained of pain. BRETTAUER AND RCniX : HYDROURETER AXD HYDRONEPHROSIS 703 Diagnosis—Hydronephrosis of right kidney. No pyelogram was taken. Notethe unilateral hydronephrosis in complete proci


. American journal of obstetrics and gynecology. n the right side. On the left side the test tube filled con-siderably slower. Ureter orifices fairly small. Good concentration of indigo-car-mine on left side in 10 minutes; faintly on right. Introduced C of sterile waterinto loft ureter. Patient complained of severe pain on left side. Fifteen ofwater was introduced on right side before patient complained of pain. BRETTAUER AND RCniX : HYDROURETER AXD HYDRONEPHROSIS 703 Diagnosis—Hydronephrosis of right kidney. No pyelogram was taken. Notethe unilateral hydronephrosis in complete procidentia in ease where a pessary sup-port was worn from almost the beginning of the prolapse. Case 3.—F. B., aged fifty-four-; had been married 34 years; 4 children, menopauseat 48 years. Prolapse for the past ten years; protrusion has become worse duringpast two months. No pessary had been worn by her. Examination—Complete prolapse of the uterus. Large eystocele. Cystoscopic findings—Bladder markedly prolapsed and deformed. Ureteral ori-. Fig. 5.—Photogi-aph of Case :.pacity of right 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, num


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