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Various devices to control bleeding after prostatectomy have been described. Many of these are bulky, very painful to remove and are not always available. The chief objections to the use of the Hagner and Pilcher bags are, (1) the necessity of withdrawing the end through the urethra and bladder and out the suprapubic wound, which is extremely painful, difficult and not always aseptic; and (2) the necessity of removing and again replacing the suprapubic drain.
I have used the following simple modification of the Hagner bag with entirely satisfactory results:
The bag consists of a soft rubber catheter 22 F., and a three-eighth inch cigaret drainage tubing, 7 inches long. The tubing is telescoped, making a double thickness 3½ inches long. One end is tied off with silk, and the double is then inverted so that the end will be inside the bag when it is inflated.
The catheter is
Barry TR. A PROSTATIC BAG. JAMA. 1926;86(19):1437. doi:10.1001/jama.1926.26720450002011b