. Surgery, its principles and practice . condensed as aresult of the erect posture and the consequent extra strain which has beenplaced on the pelvic floor. This union of the capsule of the prostateand the surrounding fascias has become so close that, in places, only by 374 SURGERY OF THE PROSTATE. following the venous plexus as a guide can the fascia (which containsthe plexus) be separated from the capsule beneath. The capsule then appears as a rough membrane except upon part ofthe lateral and posterior surfaces, where the separation of fascia and cap-sule is easily accomplished. The capsule


. Surgery, its principles and practice . condensed as aresult of the erect posture and the consequent extra strain which has beenplaced on the pelvic floor. This union of the capsule of the prostateand the surrounding fascias has become so close that, in places, only by 374 SURGERY OF THE PROSTATE. following the venous plexus as a guide can the fascia (which containsthe plexus) be separated from the capsule beneath. The capsule then appears as a rough membrane except upon part ofthe lateral and posterior surfaces, where the separation of fascia and cap-sule is easily accomplished. The capsule covers the entire prostate, butit is very firmly attached and cannot be stripped off without bringingaway portions of gland tissue. It is composed of fibrous tissue and in-voluntary muscle which are continuous with the glandular stroma. The Surrounding Fascias.—The prostate is surrounded on all sidesby aponeuroses which fix it to the middle of the perineum, formingwhat the French call the loge prostatique. Proust compares the prostate.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectg, booksubjectsurgery