A non-surgical treatise on diseases of the prostate gland and adnexa . ^ the first to become indurated and enlarged. HYPERTROPHY OF THE PROSTATE. 129 and, owing to its position, it serves as the most effectivebarrier to the outflow of nrine, by mechanically obstruct-ing its exit. This condition exists, frequently at its in-ception, without tenderness or any inflammatory symp-toms. Fig. 17 illustrates this Fig. XIX. (Coulson.)Showing enlarged prostate with third lobe,through the base of which a false pas-sage has been made. The Bottini operation was devised, more than a quarterof a
A non-surgical treatise on diseases of the prostate gland and adnexa . ^ the first to become indurated and enlarged. HYPERTROPHY OF THE PROSTATE. 129 and, owing to its position, it serves as the most effectivebarrier to the outflow of nrine, by mechanically obstruct-ing its exit. This condition exists, frequently at its in-ception, without tenderness or any inflammatory symp-toms. Fig. 17 illustrates this Fig. XIX. (Coulson.)Showing enlarged prostate with third lobe,through the base of which a false pas-sage has been made. The Bottini operation was devised, more than a quarterof a century ago, for the special relief of this trouble. Theoperation, as originally purported, properly used, and,with strict reference to this pathologic condition, wasscientific and gave much temporary relief. But, like mostall valuable procedures, it has been greatly abused, by 130 PROSTATE GLAND AND ADNEXA. blind and indiscriminate use, for almost every inconceiv-able disease of the prostate without, in many instances,the first semblance of diagnosis. I have seen several menupon whom the operation had been performed where un-mistakable evidence of a congested enlargement of thegland existed instead of indurated hypertrophy. The objections to the Bottini operation are that it givesonly temporary relief, even when properly used, and thecondition of the gland correctly diagnosed. This bar, asbefore stated, is u
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