To the question of the use of constant irrigation with running vesicovaginal fistulas

Everyone, of course, knows how horrible suffering are vesicovaginal fistulas not only in the physical, but also in the moral attitude, both in the rich, intelligent class, and especially in the poor peasant environment. The only radical cure, which is possible, however, not in all cases, is of course the surgical suturing of the fistula. But it is not uncommon for the sick to come to this help at a time when the field of the operation seems to be contaminated - therefore, one must first of all reckon with this complication. The contamination of the field of operation is sometimes so stubborn that, with the most careful application of all kinds of conventional methods of treatment, the results are far from satisfactory: the raids removed with great work quickly return; the state of health of patients worsens, forces fall, as pain, as a result of the irritation of the tissues of urine, deprives them of sleep and appetite. Here, in such desperate cases, constant irrigation, proposed by prof. N.A. Tolochinov and with success, used in his clinic, is a truly beneficial remedy.