. Studies on hypertrophy and cancer of the prostate. Fig. 22.—Enucleation of lobes. Forceps in Fig. 22a.—Two lobes removed by perineal prostatectomy. Actual size. study of lJf5 Cases of Perineal Prostatectomy. 27 with the blunt dissector, but when the intravesical portion of thelateral lobe is reached I generally use the finger so as to avoid tearingthrough the thin mucous membrane covering it. The intravesical blade of the prostatic tractor, which can be dis-tinctly palpated through the mucous membrane by the enucleatingfinger, serves to direct the separation of the deeper portion,


. Studies on hypertrophy and cancer of the prostate. Fig. 22.—Enucleation of lobes. Forceps in Fig. 22a.—Two lobes removed by perineal prostatectomy. Actual size. study of lJf5 Cases of Perineal Prostatectomy. 27 with the blunt dissector, but when the intravesical portion of thelateral lobe is reached I generally use the finger so as to avoid tearingthrough the thin mucous membrane covering it. The intravesical blade of the prostatic tractor, which can be dis-tinctly palpated through the mucous membrane by the enucleatingfinger, serves to direct the separation of the deeper portion, and warnsagainst tearing into the bladder. It also shows when some of thelobe has been left behind. The condition present after the enucleationof the two lateral lobes, as described above, are shown in Pig. 23.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906