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August 17, 1901


JAMA. 1901;XXXVII(7):463. doi:10.1001/jama.1901.62470330035015a

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The high price and expensive repairs of the Kollmann dilating irrigator led me to construct an irrigating prostatic dilator from the type of Leonard's uterine dilating irrigator. Adapting the instrument to the anatomy of the parts, confining the area of dilatation to the prostatic urethra and attaching separate shut-offs for the in-flow and out-flow, resulted in the production of this instrument, that in my hands has proven an efficient dilator—it dilates up to 45 F.—and irrigator. By carrying the amount of dilatation in the use of this instrument to a no higher degree than the patient can willingly or comfortably endure, we are enabled to express the mucus plugs and pus from out of the prostatic follicles, wash and clean the parts thoroughly with a 4 per cent, sterilized boric acid solution (95 F.) and then apply by means of Guyon's catheter, a few drops of a stimulating solution of

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