A probationary essay on ischuria vesicalis / [Martin Sinclair].

  • Sinclair, Martin, 1799?-1852.
Date:
1826
Catalogue details

Licence: Public Domain Mark

Credit: A probationary essay on ischuria vesicalis / [Martin Sinclair]. Source: Wellcome Collection.

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    be regularly obeyed; and every exertion is to be avoided that might have the least chance of causing a relapse. Paralysis of the bladder, we have stated above, depends either on such a condition of the system as produces an exhaustion of the vital powers, with impaired nervous sensi¬ bility ; or on injuries of the brain and spinal marrow, whereby the influx of nervous energy is interrupted, and atony of the bladder super¬ venes. In retention, proceeding from the first state, our principal business consists in the regular and timeous use of the catheter. In those cases where the urine is discharged in drops, or in a very languid stream, the catheter should be regularly used; and, in general, it will be found, that most patients require its introduction three times in the four and twenty hours. Should any inclination to pass water come on before the stated time of using the instrument, the natural efforts should be encouraged as it indicates a return of healthy action in the bladder. In those cases, where the retention is so com¬ plete, that none of the urine can be evacuated by the natural efforts, the utmost regularity in the use of the catheter ought to be observed ; and the bladder ought never to be allowed to