The difficulty often encountered in introducing the rubber tube after perineal prostatectomy, especially if the prostatic urethra is injured, as well as the tendency of the tube to become plugged, thereby necessitating the removal of the tubes with the sutures and packing from the perineal wound, led me to experiment with metallic tubes, resulting in the instrument described below, which in my hands has proved very satisfactory. The tube for continuous irrigation is 12.5 cm. long, the size of a No. 32 French catheter. Itis composed of a larger tube into which a smaller one is incorporated. At the vesical end are two openings, the larger being the outflow, the smaller the inflow. At the distal end the tube diverges, the larger one being attached to a drainage tube that is carried to a bucket under the bed; the smaller for the attachment of the tube from a fountain syringe,
HAGNER FR. METALLIC TUBES FOR CONTINUOUS IRRIGATION AFTER PROSTATECTOMY AND FOR DRAINAGE AFTER PERINEAL SECTION. JAMA. 1906;XLVI(4):277. doi:10.1001/jama.1906.62510310039005
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