File:The surgical diseases of the genito-urinary organs including syphilis (1889) (14801209913).jpg

Identifier: surgicaldiseases00keye (find matches)
Title: The surgical diseases of the genito-urinary organs including syphilis
Year: 1889 (1880s)
Authors: Keyes, E. L. (Edward Lawrence), 1843-1924
Subjects: Urology Syphilis
Publisher: New York : D. Appleton and Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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be continued, and the swell-ing will subside. What is liable, however, to give most trouble early in the treatmentby repeated catheterization is the congested condition of the neck ofthe bladder. In most cases, especially where retention has come on,this congestion is considerable, and is readily aggravated, the slightviolence done in catheterism lighting up a little cystitis about theneck, or increasing what already existed. Cystitis announces itselfby increased uneasiness when the bladder contains only a slight amountof urine, tendency to spasmodic contraction of the bladder-walls, un-less they are atonied, increased amount of pus in the urine, andalmost always by the presence of blood in greater or less quantities.This amount of cystitis is most apt to come on during treatment of abladder already somewhat irritable, where there is not much atony orafter-retention. Old cases, where the organ has been overdisteudedby a very large residuum for years, are not liable to suffer much from
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Fig. 74. 200 DISEASES OF THE PROSTATE. the introduction of the catheter, provided the bhidder is judiciously(not too suddenly) emptied. When cystitis of the neck comes on,calls to urinate will become more and more frequent, the last part ofthe urine drawn through the catheter will be tinged with blood, per-haps blood will continue to flow into the bladder after the withdrawalof the catheter, so that the next urine passed or drawn will resemblepure blood, or may be nearly as black as ink, if it has been retainedfor some time; or, again, if blood flows freely and quickly into anempty bladder, it may fill it to a certain extent, clotting into a solidmass in its cavity. None of these conditions need cause alarm. If the flow of blood isexcessive, and the bladder has power to empty itself, it is expedient tointermit the use of the catheter for a time, otherwise it must be con-tinued, employing the utmost gentleness of maniiiulation. Unlesscystitis of the neck becomes a prominent complicatio

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