. Studies on hypertrophy and cancer of the prostate. e ofwhich revolves around the other. When the two handles near theouter end which regulate the rotation are brought together the bladesare approximated and in position for insertion into the bladderthrough the opening in the membranous urethra (Fig. 2). Once intro-duced above the intravesical limits of the prostatic lobes the blades maybe separated by rotating the handles away from each other (Fig. 3), A^ See Appendix, Case 1, p. 143, for description of first instrument usedand p. 150 for the second modification. 10 Hugh H. Young. when it is


. Studies on hypertrophy and cancer of the prostate. e ofwhich revolves around the other. When the two handles near theouter end which regulate the rotation are brought together the bladesare approximated and in position for insertion into the bladderthrough the opening in the membranous urethra (Fig. 2). Once intro-duced above the intravesical limits of the prostatic lobes the blades maybe separated by rotating the handles away from each other (Fig. 3), A^ See Appendix, Case 1, p. 143, for description of first instrument usedand p. 150 for the second modification. 10 Hugh H. Young. when it is ready for whatever traction on its shaft may be necessaryto draw the prostate well into the perineal wound. Before discussingthe use of this instrument, however, I wish to discuss some problemsof technic and conservatism which have been met. The ejaculatory ducts.—The fact that many of the cases requiringprostatectomy are vigorous men in the fifties, with sexual powers wellpreserved, renders it important to do nothing to injure their Fig. 2.—The prostatic tractor closed, ready for introduction.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906