File:Gynecological diagnosis (1910) (14755043376).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Therapidity of the flow of urine is dependent on the activity of the 116 THE URETHRA, BLADDER, AND URETERS kidney, on the amount of fluids the patient has recently taken,and on the state of the nervous system. Sometimes it is advisableto regulate these factors before proceeding with a cystoscopy. Bothorifices should be found before a catheter is passed, because insome cases the orifice may be displaced by uterine malpositions, bypelvic inflammation, or by other abnormalities of the pelvic organs. The ureteral orifice being found, the ureteral searcher is passedinto it to make sure that it is the ureter and not a pocket in themucous membrane. Then the catheter is passed and the cystoscopeis withdrawn over it. The cystoscope with its obturator in placeis reintroduced beside the catheter and the opposite ureteral orificeis found and catheterized in similar fashion. Now the patient is gradually lowered into the dorsal position,the physician guarding the ends of the catheters as she moves.
Text Appearing After Image:
Fig. 56.—Nitzes Model of Ureter Cystoscope for Catheterizing Both Ureters. The sterile two-ounce bottles collect the urine from each ureter,the amount of urine and the time of flow being noted on each bottleas well as the ureter from which the urine came. Great care is tobe taken to mark the bottles correctly, and to this end it is bestto stick a gummed label on each bottle before the catheterization,and to mark the bottles at once after they are used. In exceptional cases something may be learned as to stone inthe ureter or stricture of the ureter by passing ureteral bougies.Wax-tipped bougies have been used with success in diagnosticatingstone in the kidney, but much skill, gained by long experience inthis field, is necessary to produce results. Catheterization of the ureters with the patient in the elevated-pelvis position, a more convenient position when an anestheticis used, is conducted much as in the knee-chest position. Thelight is held close to the patients pubcs and the op

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