Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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eter, and, in placeof introducing it by movement of the cystoscope, introduce it by pushing thecatheter inward. With the Brown-Buerger instrument the telescope can bestripped off of the catheters, which are left in place in the ureters. One can,then, by simiDle manipulation, remove the sheath itself and leave the cathetersin place (Fig. 150). Thus, in outline,we have given the general directions for the use of thewater cystoscope. Its actual use is only gained by much practice and study.For the beginner it is of distinct advantage to start by examining female blad-ders, and those in which there is but little disease. The examinations here aremuch easier and the normal relationships are more quickly learned. For themany descriptions of the method as used in pathological conditions, the reader is CATHETERIZATION OF THE IRKTKRS. 299 referred to the special books on Cystoscopy sncli as Xnoor, Casper, Fenwick,and others. After learninc^ tlic method oi iisin<i; tlic instruments, each ob-
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FiG. 156.—Position of Patient and Method of Collecting Urine after Both UretersHave Been Catheterized and Cystoscope Removed. server gi-adiially develops his own techniqne of inspecting the bladder andcatheterizing the nreters. We have considered, in the chapter on Open-airCystoscopy and in other parts of this book, the various uses to which ureteralcatheterization can be put, and pointed out many of the pitfalls into whichthe inexperienced can fall in interpreting the results, and will not refer to themhere. CHAPTER XL METHODS OF EXAMINATION OF THE FUNCTIONAL CAPACITYOF THE KIDNEYS. During recent times we have developed rapidly in onr methods of estimatingthe functional capacity of organs in health and in disease, but no organs havereceived so much attention as the kidneys. The chief danger in disease liesnot in structural alterations so much as in the reduction of the power tofunction properly; in the kidneys gross anatomical changes may occur with butlittle impairment of function

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