A non-surgical treatise on diseases of the prostate gland and adnexa . Fig. xx; Fig. XX. illustrates an instrument devised by theauthor for relieving this indurated enlargement at theneck of the bladder. It is similarly constructed to thatof the Bottini instrument, except that the cauterizing partis flat instead of a blade. It is not intended to cut, butsear the indurated surface, as illustrated. This operationis attended with practically no danger, and converts thehard resilient tissue into a soft granular surface, thatadmits the action of cataphoresis, and atrophy of theobstruction, without
A non-surgical treatise on diseases of the prostate gland and adnexa . Fig. xx; Fig. XX. illustrates an instrument devised by theauthor for relieving this indurated enlargement at theneck of the bladder. It is similarly constructed to thatof the Bottini instrument, except that the cauterizing partis flat instead of a blade. It is not intended to cut, butsear the indurated surface, as illustrated. This operationis attended with practically no danger, and converts thehard resilient tissue into a soft granular surface, thatadmits the action of cataphoresis, and atrophy of theobstruction, without danger to life. In fact, it seldomrequires confinement of the patient to his room more thanone day. Many never discontinue work more than an houror two, but I always advise at least a days rest. Fig. XXI. shows the application of the cautery to theindurated third lobe. 134 PROSTATE GLAND AND ADNEXA. The technique of this operation is first to produce local-ized anesthesia of the prostatic urethra. This is accom-plished by applying, with instrument shown in Fig. IX,. Fig. XXI. a twenty per cent solution of cocaine; to intensify thelocalized action of the cocaine I use anodal then wait ten minutes for the action of the cautery should always be tested before its introduction HYPERTROPHY OF THE PROSTATE. 135 into the urethra, in order to note carefully the requiredamperage and to see that the apparatus is in perfect work-ing order. The cautery surface should be of deep red colorand never at a white heat. It is held in apposition to theenlarged bar, at firsts only one or two minutes. Thepatient should be retained in a recumbent posture for atleast one hour, and, better still, two or three hours afterthe operation. The bladder should always be evacuatedprior to the operation, and a soft catheter passed to seethat it is thoroughly emptied. The urine should be main-tained in an antiseptic condition, and if of alkaline re-action, benz-ol cps or cystogen sho
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