. Studies on hypertrophy and cancer of the prostate. Sexual powers.—Erections are still present, but sexual powers areunsatisfactory on account of pain on ejaculation. Examination.—Patient is a well nourished man with lips of good lungs are somewhat emphysematous, but the heart is negative. Thereis no enlargement or tenderness in the region of either kidney. Genitalia.—The right globus major is somewhat indurated. 313 Hugh H. Young. Rectal.—The prostate is moderately hypertrophied, contour is rounded,smooth. The left lobe is soft and the right slightly indurated. Themedian furrow and
. Studies on hypertrophy and cancer of the prostate. Sexual powers.—Erections are still present, but sexual powers areunsatisfactory on account of pain on ejaculation. Examination.—Patient is a well nourished man with lips of good lungs are somewhat emphysematous, but the heart is negative. Thereis no enlargement or tenderness in the region of either kidney. Genitalia.—The right globus major is somewhat indurated. 313 Hugh H. Young. Rectal.—The prostate is moderately hypertrophied, contour is rounded,smooth. The left lobe is soft and the right slightly indurated. Themedian furrow and notch are shallow. The prostate is not adherent tosurrounding structures. The seminal vesicles are not palpable, no glandsare to be felt. Urinalysis.—Urine is quite cloudy, acid, 1020, there is a small amountof sugar present, a trace of albumin, microscopically, a few pus cellsand bacilli. Preliviinary treatment.—The patient was treated four days before oper-ation. Urotropin, lithia water in abundance, diabetic diet, Fig. 47.—Median bar, small suburethral lobe, two lateral lobes, Case 75. and vesical irrigation twice daily. Sp. gr. of the urine varied from 1010to 1020, the sugar was in very small amount. Urination was very frequent,about every 15 minutes night and day, and there was considerable painin the bladder. Cystoscopic examination.—A catheter passes with ease and finds 50 urine. Bladder is very small, holding only 175 cc. on forcibledistention. Cystoscope shows a median bar and two slightly enlargedlateral lobes with a small sulcus in front. Cystoscopic examination wasunsatisfactory on account of hemorrhage. No calculus was seen and usingthe cystoscope as a searcher it was impossible to feel one. With finger in study of IJfO Cases of Perineal Prostatectomy. 313 rectum and cystoscope in urethra the median portion of the prostate wasthickened and lengthened. Note.—During the six days in the hospital very little residual uri
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906
