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 |   Related post: or rupture of the cysts is accomplished. Fig. 4 shows the knife in the concealed position, and Fig. 5 the egress and downward inclination of the blade. The puncture of a cyst is illustrated in Fig. 7. For work in an air medium the following acces- Reosto Tablets sories may be employed: i. Applicators; 2, aspi- rator injector; 3. endoscopic light; 4, electrolytic needle; and, 5, galvanocautcry needle. Direct endoscopic nianip illations. For direct il- lumination and direct vision it is necessarv that the Fig. 6. — Telescope with knife in place; blade projecting may be directed against a small papilloma, against an inflamed patch, or an ulcer, and an application of from I to 3 seconds usually suffices to cause complete destruction of the mucous membrane of a small growth. Incision of cysts. One of the most practical of the instrumental accessories belonging to the cysto- urethroscope is a fine knife which has given me ex- cellent results in Himalaya Reosto the treatment of cysts of the pro- static urethra. In a paper on Urethritis Chronica sheath be freed from all fluid. To accomplish this we either use cotton applicators or the special aspi- rator injector' illustrated by Fig. 8. It is composed of two long tubes attached to a supporting cylinder that telescopes by a cone into the ocular end of the sheath. The lower larger tube is designed for aspirating the sheath, a rubber bulb being employed ''Folia Urologica. *A similar device his urethroscope. has already been employed by Goldschmidt in December 3, 1910.] JACKSON: HYPERNEPHROMA. 1 123 for suction. The upper finer tube serves as an iii- stillator. Mv technique is the following: With the lesion in th'f field, the left hand holds the sheath securely Fig. 7. Reosto Himalaya — Cyst on the left side wall of the posterior urethra being pierced by the knife. The inner field of the cystourethroscopc has a diameter somewhat less than half of that shown in the illustration. in place while the telescope is removed. The aspi- rator injector is now introduced and the fluid in the sheath is evacuated by suction of the bulb. Having thus dried out the sheath, we may assure ourselves of the presence of the Buy Reosto lesions in the fenestra by using the endoscopic light (Fig. 9). If we do not care to view that part we may proceed to the in- jection of the medicating fluid through the injector, which lies in the upper part of the sheath and whose outlet is adjusted to the center of the fenes- tra. For direct illumination of the mucous membrane I use an endoscopic lamp that fits into the sheath Fig. 10. — initci endoscopic view of the veruniontanum with the light icarrier lying above. M'agnified somewhat more than two diaineters. tightly by a slip joint. The aboral end of the light carrier (Fig. g) is fitted with a glass window that effectually closes the sheath, permitting of dilata- tion with air if we wish. A small plus convex lens mav be added so as to make vision more distinct and to produce a moderate amount of enlargement. Related links: Lamisil Tablets Over The Counter, Ginette 35 Tablet, kamagra paypal uk, retin-a cream to buy in uk, buy mentat, Valsartan 20 Mg, Allopurinol 30 Mg, Buy V-Gel Online, topamax prices pharmacy, Buy Z Pak Online
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