Clinical lectures on the surgical diseases of the urinary organs . ostate, weighing 6^ Ounces, removed from Patientaged Sixty-eight (Case 25). Actual Size. B, Right lobe ; a, left lobe. The vesical end of B shows an ulcer causedby the calculi. The catheter shows the tortuous course of theurethra. perature or other unfavourable symptom. Some urine passed naturallyon December 6, and the whole of it thus on and after December 12. OnDecember 30 the patient travelled home to Argyllshire in perfect health,having put on much flesh, and being able to pass and retain his urine 9 130 OPERATION OF TOTAL


Clinical lectures on the surgical diseases of the urinary organs . ostate, weighing 6^ Ounces, removed from Patientaged Sixty-eight (Case 25). Actual Size. B, Right lobe ; a, left lobe. The vesical end of B shows an ulcer causedby the calculi. The catheter shows the tortuous course of theurethra. perature or other unfavourable symptom. Some urine passed naturallyon December 6, and the whole of it thus on and after December 12. OnDecember 30 the patient travelled home to Argyllshire in perfect health,having put on much flesh, and being able to pass and retain his urine 9 130 OPERATION OF TOTAL ENUCLEATION OF PROSTATE naturally. On July 2, 1004, he wrote : * I am ylad to say that I am Ai 50 pounds heavier than when you first saw me, November 15. 1902. My everlasting gratitude to you. And on January 6, 1908: The urinary are in excellent condition. 1 sleep six and seven hours on a stretch without inconvenience. Since the day you relieved me I have -. had an ache or pain of any sort whatever. The prostate (Fig. 58) weighs 6\ ounces. The catheter shows the. I \ 11. w 1 5 1:1 mi)\ ) 1 rom Path m 1 \ 1 \ 1 \ < • 37). i . k1 is the boundary between the intravesical and il portions of the gland. 1 e end <»t the right lobe b) proje< ting ted, the result of the 1 ah uli. ntleman, ? one, 1 onsulted me Man h t6, m the adi tf Hove. I e yeai pret iouslj ha«l ii 1 insulted two ded him and washed out hi 1 bladdeiin a ho S< aldin ed fn quern j «•( OPERATION OF TOTAL ENUCLEATION OF PROSTATE 131 micturition ever since. Three weeks previously haemorrhage set in again,when he saw Dr. Tuohy, who found he had a large quantity of residualurine, the result of a very much enlarged prostate, and advised him tohave the prostate removed. Catheter employed twice daily. I drew off8 ounces of residual urine, which was turbid from muco-pus. Prostategreatly enlarged per rectum, markedly bilobed, soft, tense, smooth,movable ; felt bimanually like a large orange.


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