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Show 'i it rhtl‘rntnsruiut as Ls. '71" THE FEMtLI,‘ CATHETER. The cure is to be attempted by compressing the listulous orin tice. This must be gradually and perseveringly pursued, de« sisting when the distention and pain of the belly is considera< ble, but again renewing our endeavours when it has subsided. CHAPTER VI. The idea is surely correct, that we must make a free passage through the canal, before we need attempt to close the artifi~ cial anus. nPliRATIONS ON THE FEMALE PART." As in fistula of the urethra, we must make good the passage for the urine along the canal, before we hope for the closing of the sore in the perineum. The case may occur where there is an old wound discharging the aliment from a place high in the canal -, and yet it may be possible to direct a tube into the lower portion of the gut, so as to throw in nutritious fluids into the lower portion of the intestine. If this be possible, it must be cautiously done, lest we raise an inordinate action in that part of the canal which has been unaccustomed to the stimulus of aliment. Scary/lurker under the "EPW- "WU-t 2". tend ochr/iizx. OF THE I'll\l.\l,l; (ATXUHL'lL Tun use. or" the female catheter requires more delicacy}, but less knowledge than is required for the obstructions in the male. The patient lies in bed, with the thighs raised, so that the feet rest on the soles as in standing. urine. 1.3‘>,g‘=‘.,~._ -.- The surgeon has a basin placed before the woman, or what is better, a bladder is tied to the mouth of the catheter, that it may receive the The surgeon holds the catheter nearly as he would do his writing pen, only that the point of the middle ling *r is beyond the end of the catheter. The clitoris is the guide to the surgeon. Separating the idiliil‘, he feels the prominence of the clitoris. He then moves his finger directly down from it; and on the margin of the Vagina (in women who have born children, within the vagfl na) he is sensible of a little eminence, or a firm ring, on the entrance of the urethra. He has now only to move the ex- tremity of the catheter off the end of the finger into the urethra. By directing the catheter horizontally, it will enter the bladder, if the obstruction has only been a want of consent in the muscular fibres of the bladder. But if there is a mechanical obstruction, as of a tumour of the ovarium, or the womb, in the early months of pregnancy, or the child's head duninglabour, we have to recollect that the catheter must be car- ried in a direction upwards, so as to pass along the back of |