A non-surgical treatise on diseases of the prostate gland and adnexa . and. Fig. VII illustrates this form of disease: the red partsindicating the sites of the lesions. In the earlier stagesof the trouble the inflammatory condition is confined tothe ducts and follicles of the gland, but when of longstanding it becomes diffused and involves the entire there is little or no swelling of the prostate;and the bladder, seminal vesicles and rectum are rarelyinvolved, as is common in the other varieties of prostaticdiseases. In some aggravated cases, however, the inflam-mation extends
A non-surgical treatise on diseases of the prostate gland and adnexa . and. Fig. VII illustrates this form of disease: the red partsindicating the sites of the lesions. In the earlier stagesof the trouble the inflammatory condition is confined tothe ducts and follicles of the gland, but when of longstanding it becomes diffused and involves the entire there is little or no swelling of the prostate;and the bladder, seminal vesicles and rectum are rarelyinvolved, as is common in the other varieties of prostaticdiseases. In some aggravated cases, however, the inflam-mation extends to the vesicles, ampulla, vas deferens,epididymis or the globus major and minor. When thelatter are affected small worm-like lumps can be felt ateach end of the testicle, which are usually tender to thetouch. Congestion of the pampiniform and hemorrhoidalplexuses of veins almost invariably result: the formercausing varicocele, especially upon the left side, while thelatter gives rise to a swollen condition of the rectal mucous 24 SUBACUTE OR CHRONIC PROSTATITIS. 25. Fig. VI. 26 PROSTATE GLAND AND ADNBXA. membrane resulting in protrusion, ulceration or the for-mation of pile tumors. These conditions are sequels toprostatic inflammation and not idiopathic diseases; andthe cause producing them should be remedied before treat-ing the symptoms, or all phases of the disease should betreated at the same time. ETIOLOGY. The most frequent cause of this form of disease of thegland is chronic gonorrhea, but it is not, as many physi-cians believe, the only one. On a liberal estimate, aboutseventy-five per cent of these cases are traceable to gonor-rhea as the source of the trouble, while twenty-five percent are due to other causes. Moreover, it is not a factthat the gland becomes affected only by mal-treatment ofgonorrhea, as is usually the opinion of the patient, who isoften encouraged in this view by rival physicians, as hegoes the rounds. It generally follows treatment evenby the most
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