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In the treatment of the chronic endometritis one has to 
pay chief attention to the size of the uterus, to the thick- 
ness of its walls and to the nature of the secretion; it is also 
important to note whether the mucosa of the uterus is 
affected, or whether the lesions are chiefly in the cervix. An 
affection of the uterine mucosa without lesions of the cervix 
is rarely found; the contrary however is quite frequent, spe- 
cially in old cases. 
The treatment consists of: 
1. Drawing back the cervix, 
2. Introducing the catheter, 
3. Removing the discharge and 
4. Infusing the disinfecting and astringent solution. 
If the portio vaginalis and the cervix are much affected, 
they are treated specially. 
Fig. 17—Rubber catheters. 
re 
Fig. 18—Mandrin. 
I always use a hook to draw forth the cervix, since it is 
easier to insert than the forceps which I use afterwards to 
hold the cervix in its new position. 
My metal catheters (Fig. 19) are of two sizes; besides 
them I use several rubber catheters of varying size. One 
