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Some surgeons recommend that in such strictures the catheter should be thrust in with sufficient force to overcome the obstruction at all risks: but I am persuaded that this is bad practice, as the laceration of the canal, perforation of the prostate gland or rectum, are accidents very likely to occur: it is, therefore, better to puncture the bladder than to have recourse In cases where the catheter cannot be passed through the stricture, instruments have been employed for the purpose of cutting a passage: the instrument is composed of a kind of catheter with a concealed lancet, which is projected from its canula the moment it touches the stricture: prosvent as seen on tv.

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