Medical and surgical reports . re extensive and important changes, as will be noted,are present. With this slight exception, fat in the bladder-walls apparently has only the significance of fat deposit any-where. II. The presence of new connective tissue and of musclechanges in the senile bladder: Orth (61) has noticed atrophyof the bladder muscles in chronic dilatation of the (43) holds that by overwork the muscle elementsbecome surrounded with fibrous tissue, which finally sup-presses their action. Guyon (32) believes that all changesof a connective tissue kind are due to the


Medical and surgical reports . re extensive and important changes, as will be noted,are present. With this slight exception, fat in the bladder-walls apparently has only the significance of fat deposit any-where. II. The presence of new connective tissue and of musclechanges in the senile bladder: Orth (61) has noticed atrophyof the bladder muscles in chronic dilatation of the (43) holds that by overwork the muscle elementsbecome surrounded with fibrous tissue, which finally sup-presses their action. Guyon (32) believes that all changesof a connective tissue kind are due to the impaired nourish-ment consequent on arterio-sclerosis of the bladder. Boh-danovicz, quoted by Ciechanowski (1, p. 207), holds also thatover-exertion of bladder muscle leads to fibrous changes, buthe ignores cases of bladder insufficiency where no signs ofprevious hypertrophy are to be found; cases, in other words,where no cause for bladder-muscle hypertrophy exists. Hegives no heed, also, to chronic inflammation as a possible. Fig. 1. Sagittal section of senile bladder and prostate, showing thefibrous bands in the wall of the atrophic bladder, the retroprostatic pouch,and the orificial prostatic lip.


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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherbosto, bookyear1864