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Article
July 23, 1921

APPARATUS TO AID IN DIFFERENTIATION BETWEEN AN OBSTRUCTION IN THE URINARY OUTLET AND PARALYSIS OF THE BLADDER

JAMA. 1921;77(4):286-287. doi:10.1001/jama.1921.92630290002014c

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Abstract

Inability to void may be due to an obstruction somewhere in the urinary outlet or to muscular weakness of the bladder. In not a few instances, patients have come under my care who have undergone an operation for a supposed prostatic obstruction, whereas in reality the condition had been due to a partial paralysis of the bladder muscle. In order to aid the diagnosis in these obscure cases and to study the bladder function with more precision, I have devised an instrument, which is represented in the accompanying illustration.

DESCRIPTION OF INSTRUMENT  The instrument consists of a catheter (A), a two-way cock with three openings (B), a wide-mouthed 2-ounce bottle with rubber cork (C), an ordinanry blood pressure gage (D), and a piece of rubber tubing,(E) for the purpose of introducing fluid into the bladder or letting it out. Connections are made with rubber and

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