Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . seless. SENILE DEGENERATION OF THE PROSTATE The senile changes in the prostate are hypertrophy andatrophy of the gland. Hypertrophy, which is found in aboutone-third of all cases, is an anomaly in senile involution as it isthe only case presenting an increase of glandular tissue as asenile change. Many theories have been advanced for thispeculiarity; none is satisfactory. A rational explanation maybe found in the theory of tissue-cell evolution ad
Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . seless. SENILE DEGENERATION OF THE PROSTATE The senile changes in the prostate are hypertrophy andatrophy of the gland. Hypertrophy, which is found in aboutone-third of all cases, is an anomaly in senile involution as it isthe only case presenting an increase of glandular tissue as asenile change. Many theories have been advanced for thispeculiarity; none is satisfactory. A rational explanation maybe found in the theory of tissue-cell evolution advanced in thiswork. Pathology.—The hypertrophy assumes various forms. Some-times the whole gland is enlarged, occasionally it is limitedto one or both lateral lobes, more often the middle lobe islarger than the others. In most cases the hypertrophy con-sists of glandular, muscular and fibrous elements, the lattertwo predominating. Occasionally the glandular element isgreater, producing a soft hypertrophy The mass is generallyunsymmetrical, may reach the size of a hens egg and con-tains numerous small fibrous tumors, which in connection with. Fissure in ano. (From Gants Constipation.) SENILE DEGENERATION OF THE PROSTATE 123 prostatic concretions frequently block up the ducts. If thehypertrophy is lateral it twists the prostatic portion of theurethra and if central it flattens and compresses the canal. Symptoms.—While cases have been recorded in which pros-tatic hypertrophies have been found which gave no symptomsduring life this condition usually gives early evidence of itspresence. The old man finds that he must urinate more fre-quently, especially at night, that he must make a sensible effortto start the flow and that it comes in a small stream withoutany force behind it. Later on, there is a feeling of uneasinessor of dissatisfaction as if he had not been able to completelyempty the bladder and he wants to pass a little more. Thereis always an amount of residual urine in
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Keywords: ., bookcentury1900, bookdecade1910, bookidger, booksubjectgeriatrics
