Elements of pathological anatomy . ctum. The most ordinary effect of this species of irritation, in relation tothe proper structure of the gland, is hypertrophy. The enlargement is some-times very great, exceeding many times the natural size, and is commonlymuch more conspicuous on one side of the organ than on the other. Often itis entirely confined to the third lobe, which projects upwards into the cavityof the bladder, like a big nipple. The enlargement is sometimes unattendedwith alteration of texture ; in most cases, however, it is remarkably hard andfirm, presenting a dense, gristly subs
Elements of pathological anatomy . ctum. The most ordinary effect of this species of irritation, in relation tothe proper structure of the gland, is hypertrophy. The enlargement is some-times very great, exceeding many times the natural size, and is commonlymuch more conspicuous on one side of the organ than on the other. Often itis entirely confined to the third lobe, which projects upwards into the cavityof the bladder, like a big nipple. The enlargement is sometimes unattendedwith alteration of texture ; in most cases, however, it is remarkably hard andfirm, presenting a dense, gristly substance, of a whitish-brown color, with mem-branous bands extending through it in different directions. This constitutesthe scirrhous prostate of authors. Thevessels in the neighborhood of the glandare often very much enlarged, and even quite varicose. The usual form of hypertrophy of the middle and lateral lobes of the pro- 728 Il; .lam) state is given in Fig. 204. In Fig. 205 the middle lobe is uncommonly large Fig. 204. Pig, and presents two round globular tubercles on the left side. The drawings arefrom specimens in my cabinet. This hypertrophous state of the prostate is always attened with difficult mic-turition resulting from the mechanical obstruction which it produces at themouth of the urethra. The urine has to be drawn off with the catheter, andeven this often fails in entirely emptying the bladder, the fluid which lies be-hind the enlarged gland, in the bas-fond of the organ, escaping the the disease is obstinate, as, in fact, it usually is, the patient is not onlytortured with retention of urine, but he suffers from disease of the rectum,which in consequence of the frequent straining efforts which he is obligedto make, is everted at the anus ; the penis is often in a state of partialpriapism ; at night, there are involuntary seminal emissions ; severe pains dartalontf the groin and urethra ; there is a dull, aching sensation in the pennamm ;and &
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