The Hahnemannian monthly . the pivotof the instrument; two irrigating jars, one for the ice Avater,the other for a saturated solution of boracic acid; two piecesof tubing, one leading from the irrigating jar containing theice wrater, the other from the instrument to the basin on thefloor; a hand-syringe, of an eight-ounce capacity, twTo Mercierand two soft-rubber catheters, a perineal drainage tube, a Syniestaff, heemostats, and a scalpel. * Technique-of the Bottini Operation, N. Y. Med. Journal, April 29, 1899. 484 The Hahnemannian Monthly. [August, Profuse haemorrhage immediately following,


The Hahnemannian monthly . the pivotof the instrument; two irrigating jars, one for the ice Avater,the other for a saturated solution of boracic acid; two piecesof tubing, one leading from the irrigating jar containing theice wrater, the other from the instrument to the basin on thefloor; a hand-syringe, of an eight-ounce capacity, twTo Mercierand two soft-rubber catheters, a perineal drainage tube, a Syniestaff, heemostats, and a scalpel. * Technique-of the Bottini Operation, N. Y. Med. Journal, April 29, 1899. 484 The Hahnemannian Monthly. [August, Profuse haemorrhage immediately following, due to perfora-tion of the urethra, has not infrequently been observed,demanding supra-pubic or perineal section for its * cites a case followed by absolute retention, demandingsupra-pubic aspiration for three days consecutively. One ofmy cases developed urethral fever, due doubtless to prolongedinstrumental interference within a chronically inflamed viscus,and the neglect to provide for sufficient Again, the operation has been called a dark one. This,however, is hardly a serious objection to those skilled in blad-der and urethral manipulation. Besides, thorough cystoscopicexaminations undoubtedly serve as an intelligent guide to theamount of glandular overgrowth which should be , it occurred to me to combine this operation witha perineal urethrotomy, since b}r doing such a combinationoperation many of the complications known to follow an origi-nal Bottini would be entirely removed. First, because itslightly eliminates the factor of operating in the dark, by per- iled. Rec, April 28, 1900. 1900.] Bottini OperatioA for Hypertrophy of Prostate. 485 mitting intra-vesical manipulation. Second, in the event of1 Hemorrhage, an avenue is at once afforded for , that by tying in a drainage tube absolute retention is


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Keywords: ., bookauthorhomopath, bookcentury1800, bookdecade1860, bookyear1865