. Clinical lectures on stricture of the urethra and enlargement of the prostate. then felt enlarged on the floor. By inserting the fingerthrough the first incision it was hooked round the small tumour C, whichwas enucleated and removed through this incision, the mucous membraneover it being left intact. During removal of the lateral tumours the tipof the finger passed forwards as far as the triangular ligament. The intro-duction of an assistants finger into the rectum steadied and pushedupwards the tumours, and thus facilitated their removal. After removalof these tumours no trace of the prost
. Clinical lectures on stricture of the urethra and enlargement of the prostate. then felt enlarged on the floor. By inserting the fingerthrough the first incision it was hooked round the small tumour C, whichwas enucleated and removed through this incision, the mucous membraneover it being left intact. During removal of the lateral tumours the tipof the finger passed forwards as far as the triangular ligament. The intro-duction of an assistants finger into the rectum steadied and pushedupwards the tumours, and thus facilitated their removal. After removalof these tumours no trace of the prostate could be felt between a finger inthe bladder and one in the rectum, the portion of the gland not involvedin the tumours having been atrophied by pressure. There was rather freebleeding, but this was arrested by irrigation by hot hazeline solution. Nosutures were introduced into the incisions in the mucous ^-inch drainage tube was inserted and retained in the suprapubic woundfor forty-eight hours. On December 5 a large Jacquess catheter was passed easily through. pq w N i-i m a < « 0 H ^Q o w H O) <? o += B «4-l CD w « q GO o Ph SH p e+H o PQ p • •» EH CO ctf) p *-i o H a <J o s 5h o fc <! w Q 1 1 00 CO fe 104 OPERATIVE TREATMENT OF ENLARGED PROSTATE the urethra, and the bladder washed by syringing lotion through this andout through the suprapubic wound. On December 13 the patient passed 12 ounces of urine naturally, and allurine subsequently passed through the urethra. The wound was quite healedon December 21, and urine retained two and a half hours by day and threeor four hours at night. His discharge from hospital was delayed, througha sharp attack of gout, till January 23, when he could retain urine fourhours. No catheter employed since operation. I had the pleasure ofshowing the patient, in excellent health, to the class at the MedicalGraduates College on February 27. The three tumours removed were similar in structure—adenomatous,with d
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