An American text-book of genito-urinary diseases, syphilis and diseases of the skin . alvano-cautery prostateetatome. and may lead even to the formation of abscesses. The procedure recom-mended by Bottini is rather more rational, but is performed entirely in thedark ; it would be suitable only for cases in which there is a projection inthe floor of the urethra. In the present state of our knowledge the methodis not to be recommended. The same remark might be applied to the othermethods of applying electricity which have been advocated. 1 Chir., 1885. Lancet, London, 1892. 3 British


An American text-book of genito-urinary diseases, syphilis and diseases of the skin . alvano-cautery prostateetatome. and may lead even to the formation of abscesses. The procedure recom-mended by Bottini is rather more rational, but is performed entirely in thedark ; it would be suitable only for cases in which there is a projection inthe floor of the urethra. In the present state of our knowledge the methodis not to be recommended. The same remark might be applied to the othermethods of applying electricity which have been advocated. 1 Chir., 1885. Lancet, London, 1892. 3 British Med. Journ., 1887. 296 DISEASES OF THE PROSTATE. Massage.—Ebermannl recommends the use of massage in the followingmanner: The patient is placed on the back or in the knee-elbow masseur introduces the finger into the rectum and rubs the gland fromleft to right and vice versd, making pressure in the direction of the bougie may be introduced into the urethra. The seances, which shouldlast from five to ten minutes or more, may be repeated every day or every. Fig. 83.—Instrument for massage of the prostate (Felek second day. At the same time hot sitz-baths and a suppository of three tofive grains of the iodide or bromide of potassium are recommended. It isclaimed that in this way the pathological products are removed through theveins and lymph-channels. Giiterbock recommends massage in the softerforms of hypertrophy when the whole gland is of the same consistence. Hesays that the hard myomatous growths could scarcely be influenced, althoughno harm would follow the procedure. Enlargement of the middle lobe isnot susceptible to this method of treatment, as it grows upward into thebladder and beyond the reach of the finger. Feleki2 describes an instrument which he has had made for the purposeof applying massage to the prostate in cases of chronic inflammation. Theinstrument is made with a handle 20 cm. long, attached at the extremity to a


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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis