. Modern surgery, general and operative. Fig. 949.—Buergers rongeur forceps with flexible shank for use with Buergers operating cystoscope. following are further contra-indications, as suggested by Follen Cabot andHenry G. Spooner, in Med. Record, July 11, 1903: When it is obvious thatoperative intervention would be useless; when there is a large tumor; in acutecystitis; in tuberculosis in which the diagnosis is evident without the women, pelvic adhesions and large exudates may interfere with Fig. 950.—Tilden Browns cystoscopic table with patient in position for exam
. Modern surgery, general and operative. Fig. 949.—Buergers rongeur forceps with flexible shank for use with Buergers operating cystoscope. following are further contra-indications, as suggested by Follen Cabot andHenry G. Spooner, in Med. Record, July 11, 1903: When it is obvious thatoperative intervention would be useless; when there is a large tumor; in acutecystitis; in tuberculosis in which the diagnosis is evident without the women, pelvic adhesions and large exudates may interfere with Fig. 950.—Tilden Browns cystoscopic table with patient in position for examination. Technic of Cystoscopy.—The patient should, if possible, be carefully soundedonce a day for several days previous to the cystoscopic examination; this estab-lishes tolerance of the urethra. He should be placed upon a suitable table,such as that devised by Tilden Brown or Bransford Lewis, as shown in Fig. 950. Tcchnic of Cystoscopy 1451 The urethra is cleaned by irrigation with salt solution. General anesthe-sia is rarely necessary provided the operator is gentle in his are, however, some hypersensitive urethras which it is necessary toanesthetize. Cocainization of the urethra will usually suffice. This iscarried out by instillation through the Keyes-Ultzmann syringe or, better,through a soft-rubber catheter into the posterior portion of the canal of idram of a 4 per cent, solution of cocain. Alypin, placed in the canal at thepoints of greatest tenderness by means of Dr. Lewiss re
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