By Jas. B. MacAlpine

Cystoscopy and Urography, moment variation provides the numerous advances in instrumentation and alertness of cytoscopy and urography. This publication is prepared into elements encompassing 27 chapters.
This version provides six extra chapters from the 1st version; 3 of those trouble urography. the 3 different chapters survey pelvic resorption, excretion urography, and pyeloscopy. different chapters take care of fistula of the bladder, funnel-neck deformity of the bladder, and congenital abnormalities of the kidney and ureter. This booklet additionally covers the subjects of renal tuberculosis, purpura, and an outline of endoscopic prostatic surgical procedure.
This booklet is of price to surgeons and urologists.

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C. of anaesthetic solution) t o a n y of these drugs diminishes absorption and concentrates their action. Any form of urethral syringe (Fig. 34) m a y be employed. T h e urethra should be fully distended, and then a clip (Fig. 35) should be placed on t h e tip of t h e penis in order t o retain t h e fluid for a few minutes. At t h e end of this time the surgeon takes hold of t h e end of t h e penis with t h e left hand, and with t h e right hand in t h e EXAMINATION OF A UROLOGICAL PATIENT 37 perineum massages the fluid back past the anaesthetized compressor urethrae into the posterior urethra.

The distribution of anaesthesia of the 40 c c. injection is about the same but more complete " (Grodinsky and Best). Appreci­ ation of pain invariably disappears before tactile sense, and the latter may remain unaffected throughout the examination even when pain is absent. The condition is then an analgesia rather than an anaesthesia. We often find this to be the state of the 2nd and 3rd sacral segments. 42 CYSTOSCOPY skin anaesthesia varies both in e x t e n t and in degree, extending to t h e thighs when well marked.

W h e n t h e urine is strongly acid : Hexamine, 10 gr. three times a d a y before meals. 2. , administered after meals. The hexamine is given before meals in order t o avoid, as far as possible, excess of free hydrochloric acid in t h e stomach. Certain conditions m u s t be fulfilled before cystoscopy can be performed. The u r e t h r a m u s t be capable of a d m i t t i n g a cystoscope. The bladder m u s t be of sufficient size, a n d t h e contained medium clear enough to allow a view of t h e wall to be obtained.

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Cystoscopy and Urography by Jas. B. MacAlpine
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