A non-surgical treatise on diseases of the prostate gland and adnexa . even should herecover from the operation, he only exists for a few yearsmore or less in misery. While this method somewhat simu-lates that of the Bottini cautery, which is a blind empiricalcutting into parts with cautery blade at white heat, withoutknowing the extent or even the amount of hemorrhage thattakes place. So dangerous has been this later operationthat it is now practically abandoned. Of course, there aresome cases where the tumor at the neck of the bladder, orappended to the prostate, has become so large and indo
A non-surgical treatise on diseases of the prostate gland and adnexa . even should herecover from the operation, he only exists for a few yearsmore or less in misery. While this method somewhat simu-lates that of the Bottini cautery, which is a blind empiricalcutting into parts with cautery blade at white heat, withoutknowing the extent or even the amount of hemorrhage thattakes place. So dangerous has been this later operationthat it is now practically abandoned. Of course, there aresome cases where the tumor at the neck of the bladder, orappended to the prostate, has become so large and indolentthat nothing short of the knife can promise even temporaryrelief. Besides are so prone to postpone treatment ofthis kind that the morbific condition becomes irreparable. Case XTII. A lawyer; aged sixty-eight; married; no venerealhistory. He had observed some slight difBculty in voidingurine for about five years. There was no pain attendingthe act, but it required longer time than normal, and someeffort to thoroughly evacuate the bladder. This condition 136a. Fig. XXIa. HYPERTROPHY OF THE PROSTATE. 137 gradually became more manifest, until he observed thathe could not entirely empty the bladder. He then con-sulted his physician, who began the use of sounds, and thecatheter. The urine became turbid, ammoniacal and veryoffensive after standing. Washing of the bladder wasresorted to, without any relief. When he consulted me he had to use the catheter fromfour to five times during the twenty-four hours. He wasenabled to expel by force, at times, from one to fourdrachms. It contained a large quantity of mucus andpus, strongly ammoniacal in odor, and alkaline in re-action. Both lobes were hypertrophied — the left one moremarked. The bar at the neck of the bladder was especiallylarge, and firm. There was no tenderness upon pressureof the gland through the rectum. Its large size obstructedthe fecal discharge, causing constipation. There was veryslight tenderness in the prosta
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Keywords: ., bookcentury1900, bookdecade1900, bookidnonsurgicalt, bookyear1906
