Identifier: systemofgenitour01morr (find matches)
Title: A system of genito-urinary diseases, syphilology and dermatology
Year: 1893 (1890s)
Authors: Morrow, Prince A. (Prince Albert), 1846-1913, ed
Subjects: Skin Syphilis Genitourinary organs
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ium penis (Fig. 24).^ Thus a double-armed lever is formed. The ber has then, however, also to be increased, otherwise the illumination would be insuffi-cient. (The note may find a place here that, on the other hand, a good cystoscope can beconstructed for use in children as small as No. 16 French.) In such exceptional cases weshould make it a rule to explore the urethra with a prostatic sound a few days previous tothe examination, if this is feasible. It will tend to spare trouble to the patient and dis-appointment to the cystoscopist. 470 ON CYSTOSCOPY. relative strengtli of its two arms determines the middle (equilibrium) posi-tion of the sound which was introduced and left to itself. In a normalbladder this position is such that the shaft does not touch the fundus, butforms with it an angle of about 20°, open posteriorly (Fig. 24). In casesof hypertrophy of the prostate the prostatic portion of the urethra isrigid, the ligamentimi suspensorium penis, as in all older patients, less
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Fig. 25.—(Nitze.) firm. Thus the equilibrium of the sound is changed, as demonstrated inFig. 25. The axis of the latter runs parallel with that of the body, or iseven deviating posteriorly.) 4. Be careful in estimating the size of the different lobes of the pros-tate, especially of the median. They can be observed with No. 1, lyingin the shade. No. 2 illuminates them. The prism is near, the objecttherefore greatly magnified. Cystoscopic Appearance of the Healthy Bladder.—To avoid grave mis-takes in interpreting the pictures observed in the diseased bladder, thecystoscopist should first carefully study the normal viscus. Only if hegets no chance to inspect the interior of the healthy living bladder oughthe to make use of the cadaver. The former is by far jjreferable. Anumber of important phenomena are to be seen only there. The medical man interested in genito-urinary surgery, who once hasthe chance to leisurely exjjlore the liladder surface with liis eyes, no doubt EMPLOYMENT OP T

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