. Studies on hypertrophy and cancer of the prostate. immediately surrounding prostatic tractor may be used with great advantage in removinga median lobe, and the technique which I generally employ to drawit down into one of the lateral cavities where it can be enucleated, isas follows: Push the tractor backward until free in the bladdercavity, depress the handle of the instrument so that the shaft can lieon the top of the middle lobe, and then rotate the instrument 90degrees, so that one of the blades projects downward behind it. Out- 30 Hugh H. Young. ward traction should then engage
. Studies on hypertrophy and cancer of the prostate. immediately surrounding prostatic tractor may be used with great advantage in removinga median lobe, and the technique which I generally employ to drawit down into one of the lateral cavities where it can be enucleated, isas follows: Push the tractor backward until free in the bladdercavity, depress the handle of the instrument so that the shaft can lieon the top of the middle lobe, and then rotate the instrument 90degrees, so that one of the blades projects downward behind it. Out- 30 Hugh H. Young. ward traction should then engage the lobe, as shown in Fig. 24, anddrawn down where it can be seen by the operator. To get it into onelateral intracapsular cavity (say to the left) two manoeuvres are of help :Pushing against it with the index finger of the left hand, which hasbeen inserted in the right intracapsular cavity, as seen in Fig. 25, androtation of the blade engaging the middle lobe in the same direction,making traction on it all the while. Fig. 25a shows a pedunculated. Fig. 26.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906
