An American text-book of genito-urinary diseases, syphilis and diseases of the skin . Fig. 85.—A, trocar with cannula complete ; a piece of india-rubber tubing is to be attached below thecollar of the cannula on withdrawal of the trocar, to convey the urine into a receptacle ; B, silver can-nula, which is introduced in tube of A to form a probe-end, and for retaining it; C, a plain silver tubewith which to clear B in ease of its becoming blocked up (R. Harrison). and entered in the middle line of the perineum one inch in front of the anusand in a direction toward the umbilicus. The instrument
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . Fig. 85.—A, trocar with cannula complete ; a piece of india-rubber tubing is to be attached below thecollar of the cannula on withdrawal of the trocar, to convey the urine into a receptacle ; B, silver can-nula, which is introduced in tube of A to form a probe-end, and for retaining it; C, a plain silver tubewith which to clear B in ease of its becoming blocked up (R. Harrison). and entered in the middle line of the perineum one inch in front of the anusand in a direction toward the umbilicus. The instrument is so constructedthat urine flows as soon as the bladder is entered, when the trocar is with-drawn, the cannula being allowed to remain. The patient referred to was upin twenty-four hours. In about six weeks urine began to pass by the urethraand the cannula was removed. Two years later the prostate could not be man died at the age of ninety without having had any recurrence of the. Perineal drainage-tubes (Watson). Similar shrinkage and improvement have been observed after cystot-omy for stone or other cause when the enlarged prostate has been divided. Tunnelling the prostate is not as safe a procedure as the method byincision, and is not to be recommended. Where the sole object is to securethorough drainage of the bladder with the least risk to the patient, a medianperineal cystotomy will be the operation of choice. 1 Surgical Disorders of the Urinary Organs, 3d ed. SUPBAPUBIC DBAINA GE—PBOSTA TOTOMY. 299 Suprapubic Drainage.—Suprapubic cystotomy for the purpose of secur-ing permanent drainage in cases of prostatic hypertrophy was first performedby Thompson in 1869. In this country Hunter McGuire has suggested theformation of a permanent artificial urethra above the pubes. He performsthe usual operation, and after the wound heals suf-ficiently introduces a catheter of special designwith a stopper, which is worn permanently by thepatient. This oper
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
