Operative gynecology : . lowing simplemanner, without elevation, or atmospheric distention of the bladder: The patient lies on her back on a flat table, with thighs well drawn up onthe body, and the bladder is emptied. The !STo. 9 or 10 cystoscope is nowintroduced, its outer end strongly elevated, and the inner end turned towardthe right or left side of the base of the bladder. The head mirror is now Fig. 282.—Sieve andGraduate for fil-tering and collect-ing a Few Dropsof Urine caught upon Cotton from theUreteral Orifice,through the specu-lum, without cath-eterizing the ure-TER. 498 AFFECTIONS
Operative gynecology : . lowing simplemanner, without elevation, or atmospheric distention of the bladder: The patient lies on her back on a flat table, with thighs well drawn up onthe body, and the bladder is emptied. The !STo. 9 or 10 cystoscope is nowintroduced, its outer end strongly elevated, and the inner end turned towardthe right or left side of the base of the bladder. The head mirror is now Fig. 282.—Sieve andGraduate for fil-tering and collect-ing a Few Dropsof Urine caught upon Cotton from theUreteral Orifice,through the specu-lum, without cath-eterizing the ure-TER. 498 AFFECTIONS OF THE URETERS. turned so as to illuminate the portion of the wall of the bladder at the end ofthe speculum. The speculum is now withdrawn as far as the urethral orifice,to locate its position, and then pushed in again and turned to one side with theidea of bringing the ureteral orifice at once within the lumen of the it can be seen immediately, even through a little layer of clear Ureteral^ orifice. Fig. 283.—Catching Urine as it Spurtsfrom the Ureter, without Passinga Catheter into the Ureter. The oblique speculum is convenientbut not necessary for this purpose. In abadly infected bladder this is often theonly safe way of getting urine from asound kidney. urine; at other times it isnecessary to keep the speculumagainst the bladder wall, andthen, after drying out the fewdrops of urine in it, to find theureteral orifice by gliding theinstrument over the vesical mu-cosa. Any depression resem-bling the mouth of the ureteris first tested with the searcher,and then, if it is found, thecatheter is pushed in. By in-troducing the flexible catheters in this way just before a vaginal or abdominal hysterectomy the ureter is con-verted into a cord easily felt throughout the operation. It not infrequently happens that a patient with carcinoma of the cervix,is so heavy that she can not be put into the knee-chest posture with the limitedassistance at the command of th
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
