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Lanfranc's discussion of cystotomy, Pagel characterizes as prudent but rational, for he considers that the operations should not be feared too much but not delayed too long.

Lanfranc's discussion of cystotomy, Pagel characterizes "as prudent, yet rational," for he considers that the operation should not be feared too much nor delayed too long.

In such a case a cystotomy would be indicated were the bullet discovered in the viscus.

I believe the ideal treatment would be a supra-pubic cystotomy and drainage of the bladder by a Sprengel's pump apparatus, such as we employ at home.

As a catheter would not pass, he was placed in a warm bath, and shortly after passed a Mauser bullet per urethram, and thus saved himself a cystotomy.