A non-surgical treatise on diseases of the prostate gland and adnexa . the exception of the neck of the bladder and sem-inal vesicles, the rectum is most frequently involved as aresult of chronic prostatitis. The part most often affectedis the front surface immediately opposite the of this organ, owing to its close proximityto the rectum, readily extends to the latter. The plateshows the position where it most often occurs. If the in-flammation is of short duration and the gland is onlyslightly affected, the rectum at this point will show a con-dition of redness, with onl
A non-surgical treatise on diseases of the prostate gland and adnexa . the exception of the neck of the bladder and sem-inal vesicles, the rectum is most frequently involved as aresult of chronic prostatitis. The part most often affectedis the front surface immediately opposite the of this organ, owing to its close proximityto the rectum, readily extends to the latter. The plateshows the position where it most often occurs. If the in-flammation is of short duration and the gland is onlyslightly affected, the rectum at this point will show a con-dition of redness, with only a limited protrusion of theprostate, and without abrasion of the surface of the mu-cous membrane. In cases of long standing prostatitis,where there is considerable protrusion of the gland into the 90 SEMINAL VESICLES. 91 rectum, there is, as an almost invariable result, lesion ofthe mucous surface, and this being constantly irritated bythe passage of fecal matter, in turn reacts upon the pros-tate, serving to increase the irritation and inflammationof the Fig. The kidneys are very rarely involved, although the painin the lumbar region of the spine, together with the turbidurine, often leads one to suspect such disease. The pain felt in the lumbar region, at about the fourthor fifth vertebra, has no connection with the kidneys,though it is usually spoken of as pain in the pain is in the center of the back and very low down,while that of the kidneys is much higher, on each side,and beneath the borders of the lower ribs, as illustratedby Fig. XV. 92 PROSTATE GLAND AND ADNEXA. The inflammation occasionally extends from the pros-tate to the bladder, thence through the ureters to thepelvis of the kidneys, provoking pyelitis, and even inter-stitial nephritis. Some twelve years ago I attended a case, of fifteen yearsstanding, suffering with stricture, prostatitis, cystitis andnephritis. The trouble extended to the pelvis of the leftkidney, and subse
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