File:Buffalo medical and surgical journal (1893) (14760547286).jpg

Identifier: buffalomedicalsu3318unse (find matches)
Title: Buffalo medical and surgical journal
Year: 1894 (1890s)
Authors:
Subjects: Medicine General Surgery
Publisher: Buffalo : Joseph Warren & Co., Printers
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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xed urethra. The bag is filled with water, at a temperatureof 115 degrees, to insure more than blood warmth as it flows, and DAGGETT : BLADDER GYMNASTICS AND AUTO-IRRIGATION. 715 is made bland by the addition of a little glycerine, mucilage, afew grains of salt or soda carb., and elevated two or three feetabove the plane of the pelvis. The patient must assume a reclining position—a reversedsquatting posture—since flexure and gravity are essential factors.He may do this in an ordinary bath tub by resting his back alongthe incline at its head, so that the trunk is at an angle of forty-fivedegrees from the horizontal line, flexing the thighs at right angleswith the body and supporting the legs at right angles with thethighs. If there is no bath tub at hand, a hip bath may bearranged for this purpose, or the patient may posture himself in alow rocking chair, tilted and blocked (Fig. 2), so that his bodyassumes the position described, his legs resting upon another chairor upon a stand.
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Fig. 2.—Posture for auto-irrigation of the bladder. The nozzle of the irrigator is then introduced, the penis graspedand drawn in line with the fixed urethra, the stop opened and thewater allowed to run if necessary until the bag is empty ; if it hasnot passed into the bladder, try again. A peculiar feeling giveswarning of the passing of the water through the posterior urethra,the return flow diminishes and escapes in a pulsating stream, whena finger of the right hand is placed over the exit, to divert theentire flow into the bladder, which at first resents the intrusion 716 DAGGETT : BLADDER GYMNASTICS AND AUTO-IRRIGATION. and ejects after receiving two to three ounces. Repeat this and thebladder becomes more tolerant each time. Three to four flushingsare sufficient at each seance and the seances may be repeated threetimes daily if necessary. The novelty and comfort afforded byirrigation sometimes induce patients to overdo, at the beginning,before tolerance is established. The dimi

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