Grayson Carroll

PANEL DISCUSSION ON URINARY OBSTRUCTION

PANEL DISCUSSION ON URINARY OBSTRUCTION* Moderator: CHARLES C. HIGGINS, M.D., Chief, Department of Urology, The Cleveland Clinic Foundation, Cleveland, Ohio. Panelists: GRAYSON CARROLL, M.D., Associate Professor of Clinical Urology, St. Louis University, School of Medicine, St. Louis, Missouri; ORMOND S. CULP, M.D., Associate Professor of Urology, University of Minnesota Graduate School, Rochester, Minnesota; RUBIN H. FLOCKS, M.D., Professor of Urology, State University of Iowa, College of Medicine, Iowa City, Iowa; WILLIAM L. VALK, M.D., Professor of Urology, University of Kansas, School of Medicine, Kansas City, Kansas.

MANEUVER TO FACILITATE PASSAGE OF CATHETER THROUGH A MARKEDLY TORTUOUS URETER FOR SECURING ROENTGENOGRAMS

A recent experience was interesting and valuable for developing a maneuver that paved the way to the passage of a ureteral catheter up a ureter that at first proved impassable both to the catheter and to the fluid introduced for roentgenography. Mrs. W. B., aged 71, was extremely weak and decrepit, and it was highly desirable to make a definite diagnosis of the renal condition. At cystoscopy, January 19, on the left, the catheter passed readily, but on the right side it was obstructed within an inch of the lower orifice. Several different sizes and kinds of catheter were used successively, but nothing could be made to go farther than the one inch. Holding this in place as best we could, 12 per cent sodium iodide solution was injected and a roentgenogram taken which gave us a clue at least to the situation, as shown in figure 1. The kidney