kidney are immediate removal of the diseased kidney and its ureter; in case of disease in both kidneys, no operation should be performed. 7. The competency of the healthy kidney should be proved by repeated catheterization of the ureters before nephrectomy and the removal of all toxic elements from the blood should be secured by a liquid diet, irrigation of the colon and hydration of the whole system for some days before the removal of the kidney. 8. Lumbar, extraperitoneal nephrectomy is the safer operation. 9. In women the removal of the ureter should be completed through the vagina. 10. Any remaining tuberculosis of the bladder should be treated locally by curetting or cauterization. 11. Catheterization of the ureter is not a dangerous procedure and it may easily be accomplished in women with the simple cystoscope of Simon, Pawlik or Kelley, and in men with the more complicated instrument of Casper.
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