Modern surgery, general and operative . Fig. 878.—Points ofGouleys whalebone guides(filiform bougies). Fig. 879.—Gouleys tunnelled catheter threaded on a fiHfonn bougie. pass. Fig. 880 shows the proper curve of a metal instrimient. An individ-ual who has an organic stricture which has given but little trouble maydevelop attacks of retention because of inflammatory edema of the mucousmembrane and spasm of the urethral muscles. These attacks are tempo-rary, and an instrument can usually be inserted when employed as abovedirected. In inflammation give a hot hip-bath and suppositories of opium and
Modern surgery, general and operative . Fig. 878.—Points ofGouleys whalebone guides(filiform bougies). Fig. 879.—Gouleys tunnelled catheter threaded on a fiHfonn bougie. pass. Fig. 880 shows the proper curve of a metal instrimient. An individ-ual who has an organic stricture which has given but little trouble maydevelop attacks of retention because of inflammatory edema of the mucousmembrane and spasm of the urethral muscles. These attacks are tempo-rary, and an instrument can usually be inserted when employed as abovedirected. In inflammation give a hot hip-bath and suppositories of opium andbelladonna, and then use a hot sand-bag to the perineum and a hot-water bag. Fig. 880.—^4-£-E shows the proper curve (reduced in size) for unyielding male urethral instruments;C—B-D shows an improper curve. over the hypogastrium. If these fail or if the symptoms are urgent, pass asoft catheter. In the occluded meatus of the newborn incise with a a congenital cyst of the sinus pocularis pass a steel bougie, which will rupturethe cyst. In complete phimosis spUt up the prepuce. In impacted stone tryto pull out the calculus with urethral forceps; if this fails, cut the urethra or,in rare cases, push the stone back into the bladder. In fecal impaction scrape Fig. 881.—English silk-web catheter. out the rectum with a spoon. In enlarged prostate the rectal examination givesinformation as to the type of enlargement. If there is moderate enlargementof the middle lobe the coude (Fig. 877, h) or the bicoude catheter (Fig. 877,c) will probably pass. If these instruments fail, try the overcurved silvercatheter of Sir Benjamin Brodie. This metal instrumen
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
