Year: 1928
Type: article
Abstract: Primiary or " Residual " C'ystitis.By this is meant an inflammation of the uriniarv tract entir ely confined to the bladder; either it is a primary Cystitis, or it is seconidary to pyelitis, pyeloleplhriti"s, etc., which lhas been cured.Cystoscopy shows the cystitis, while the uirine obtained from each kidney (by means of a ureteral catheter) is free from pus.If tlle bladder is constantly reinfected by septic urine, tlheni the source of the sepsis in the kidney must be attacked before local treatment to the bladder is of any use.Primary or residual cystitis, withl or witlhout ulceratioil, can be cured, or at any rate the distressing symptoms caii be abated, by treatment with antisepitic ernulsions.Thie details of the treatment are as follows.Twice weekly a catheter is passed and the bladder dis- tended ulider the usual strict aseptic precautions witl either solution 1 or solution 2. The iodoformiii emulsion (No. 2) is too irritating to use too ofteni.Solutioni 1 is utsed three times to one of solution-2--that is, solutioln 1 is used oni the 3rd, 6th, 10th, 17th, 20tl, anid 24tl davs of a monitlh, -while solution 2 is used on the 13tlh and 27tlh (h/VS of a month.The solutioni is allowed to remaill in tle bladder for thirty minutes, when it is mictur-ated.I carrv out the treatmenit for eight weeks, or longer if a cure has not theni been obtainied.The composition of the soluttiolls is as follows.Silrcr-Iodidc Emulsion, o-.Solititloa L. Potassium iodide 21.66 grams in 150 c.crn.water.Silver nitrate ... ... 21.66 grams i;o 150 c.cnm.water.These solutions are mixed with 150 c.cm. of mucilage of Iliish nm oss.
Source: BMJ
Author: R. Ward
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W1998411364