An American text-book of genito-urinary diseases, syphilis and diseases of the skin . Fig. 163.—Ureteral searcher. teral dilators, from 5-20 mm. in diameter ; cylindrical specula with obturatorsof the same caliber (Fig. 164); a common head-mirror and lamp; a long, 484 DISEASES OF THE URETER. delicate mouse-tooth forceps; a suction apparatus for completely emptyingthe bladder ; a ureteral searcher (Fig. 163); and a ureteral catheter withouthandle (Fig. 165).. Fig. 164.—Speculum and obturator. ^ 1. Direct Method.—The bladder is first emptied by the catheter. In orderto determine the proper size
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . Fig. 163.—Ureteral searcher. teral dilators, from 5-20 mm. in diameter ; cylindrical specula with obturatorsof the same caliber (Fig. 164); a common head-mirror and lamp; a long, 484 DISEASES OF THE URETER. delicate mouse-tooth forceps; a suction apparatus for completely emptyingthe bladder ; a ureteral searcher (Fig. 163); and a ureteral catheter withouthandle (Fig. 165).. Fig. 164.—Speculum and obturator. ^ 1. Direct Method.—The bladder is first emptied by the catheter. In orderto determine the proper size of dilator to be used first,a calibrator can be pushed into the urethra and the cor-responding dilator chosen. By introducing the dilatorsas they occur in the series, the average female urethracan easily be dilated up to 12 mm. in diameter, withonly a slight external rupture. Kelly has never seena tear more than 3 mm. in length and 1—1-^ mm. indepth, and he has not had to incise the meatus, asSimon did, to avoid extensive rupture. Kellys metaldilators are double-ended, of a flattened sigmoid shape,each end representing a single dilator in the points are conical. On the flattened area in themiddle of each dilator the diameter is marked in milli-meters. This also affords a convenient grasp. Assoon as a dilatation of 12-15 mm. is reached, a specu-lum of the same diameter is introduced and its ob-turator removed. The hips of the patient
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
