A New Vaginal Douche with 
Automatic Outflow. 
JJY 
NATHAN G. BOZEMAN, Ph.B., M. XX, 
Gynaecologist to St. Francis’s Hospital, Jersey City, 
and St. Mary’s Hospital, Hoboken. 
REPRINTED FROM THE 
Krtu Vorft iHJetrfcal 
for September 29, 1894- Reprinted from the New York Medical Journal 
for September 29, 189Jf. 
A NEW VAGINAL DOUCHE WITH 
AUTOMATIC OUTFLOW. 
By NATHAN G. BOZEMAN, Ph. 8., M. D., 
GYNAECOLOGIST TO ST. FRANCIS’S HOSPITAL, JERSEY CITY, 
AND ST. MARY’S HOSPITAL, HOBOKEN. 
It has been my endeavor for several years to perfect a 
system of vaginal douching which can be applied conven- 
iently and without the douche pan. The object which I 
have in view is to flush the vagina with a small quantity of 
hot water and evacuate before it flows over the perinseum. 
The patient’s clothing and the bedding are thus protected 
from moisture and it enables me to use the water at 130° 
F.—hotter than is tolerated by the skin but comfortably 
borne by the vaginal raucous membrane, after slight cool- 
ing in passing through the apparatus. Protracted douch- 
ing of this kind I have found relieves pelvic pain and pro- 
motes absorption of plastic exudates about the uterus, 
ovaries, and tubes. It also dilutes the urine and washes 
the vesical mucous membrane when there is a vesico- 
vaginal fistula, made for physiological rest of the bladder 
for the cure of cystitis and ureteritis. 
The apparatus which I have devised and used to my 
Copyright 1894, by D. Appleton and Company. A NEW VAGINAL DOUCHE. 
entire satisfaction is well represented in the cut. It differs 
from the air and water irrigator and drain only in the form 
of the reservoir (see the New York Medical Journal, June 
1, 1889, and May 27, 
1893). Here a soft 
rubber bag is em- 
ployed and the out- 
flow is not con- 
stant ; it is four 
ounces per minute at 
the beginning and 
it gradually dimin- 
ishes. The hag holds 
two quarts of water 
which runs out in 
twenty minutes. The 
apparatus commends 
itself for its compact- 
ness, and it certainly 
minimizes the quan- 
tity of hot water re- 
quired for a pro- 
tracted douche, which 
is a great comfort to 
patients who have 
not the advantages 
of a home or hospi- 
tal appointments. 
When in use the 
the side of the bed, three feet from the floor, directly over 
some form of receptacle ; the perforated loop of soft rubber 
tubing is compressed when introduced into the vagina. On 
opening the stopcock the upper or inflow tube is clamped for 
bag is suspended by A NEW VAGINAL DOUCHE. 
3 
a few seconds while the outflow tube is being exhausted of 
air; when it is released a continuous flow of air and water 
takes place into the vagina; the water accumulates there to 
the level of the uppermost perforations in the bent tube 
and is then carried off into the vessel on the floor. If it is 
necessary to continue the douche longer than twenty min- 
utes a pitcher of hot water is placed near at hand, so that 
the patient can herself replenish the douche bag without 
rising, when it becomes empty. 
9 West Thirty-first Street. The New York Medical Journal 
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