Catheter and its use for urine output and injection

If medications do not work, then another trick cannot be avoided, such as the use of a catheter and a urinary instrument. Beware of using it when there are tumors in the bladder or when something is pressing on the bladder nearby, because inserting a catheter causes swelling and increases pain. The best catheters are those made from the softest substances that are most capable of bending; This is the skin of some sea animals and some terrestrial animals, if it is tanned somewhat, after which a tool is made from it and glued with raw glue. Catheters are sometimes made from lead or tin, and these are also good. If they are very soft, they are strengthened by adding a little glass slag or marcasite, or by subjecting them to repeated melting and casting and adding goat's blood to it; The power of the goat's blood has a beneficial effect in such cases and, moreover, strengthens both metals. Then the tip of the catheter should be needle-shaped, rounded, and several holes should be drilled in it, so that if a little blood, sand or thick juice gets stuck in some of them, another passage remains for injected drugs or urine to be removed and there is no need to constantly remove and insert a catheter. Catheters are often also made from silver and other substances. Sometimes all such instruments are intended to administer some kind of medicine through them, and sometimes to remove something from the bladder.

As for the catheter intended for administering medicine, something like a small bag or bubble, crushed and softened, is attached to its open and free end; Medicine is poured into it and administered in the same way as during an enema. They can also be arranged like that special enema that we mentioned in the paragraph on kulanj. If the catheter is intended for; excretion of urine, then it is necessary for it to act like pistons due to the impossibility of the existence of emptiness. Namely, the catheter is filled with something, and then the filler is forcefully pushed out, which pulls out urine or something else with it. And sometimes they attach a device to the catheter or on top of it that squeezes out a certain amount of air; when it is pulled out and there is no access for air, the expelled urine or other substance is of necessity carried along with it. What fills the internal cavity of the catheter can be either wool with combed fibers, to the middle of which a thread is tied; when the wool is tightly packed into the cavity at both open ends of the catheter and then pulled up by the thread, the wool is removed, and what it entails follows. And with another device, it is a rod that goes through the catheter, or a case that is put on it with a handle that is pulled.

As for the use of this instrument, it is best if the patient sits on the tip of the coccyx, squeezing the anus, and it is supported from behind, and raises the knees slightly above the groins so that there is a gap between them; The patient is pre-warmed up with relaxing baths. Then the catheter is inserted at a distance equal to the length of his penis: it is best that the device for removing urine for each person corresponds to the length or shortness, width or narrowness of his penis. Before this, the catheter is lubricated with wax ointments, especially ointments consisting of oils suitable for this purpose. When the catheter is positioned at a distance similar to the size of the penis, the penis is placed in a straight position, as if it were standing, with a slight tilt towards the navel, and then the catheter is carefully pushed into the bladder channel to the distance of one or two finger joints. There it enters the cavity of the bladder, and the pain subsides or decreases, or it is felt that the passage of the catheter has caused the obstacle to move and, in general, the forward movement of the catheter is noticeable. Then the penis is lowered down again, returning it to its original position or even lower. And when you have done all this, then either pull something out if you need it, or push something in by infusion if you want to introduce medicine. In general, you should try to ensure that the catheter does not cause abrasions, and insert it slowly and carefully so that it does not cause pain