Clinical lectures on the surgical diseases of the urinary organs . w 1 [ghing \\ Ounces, i \ Patieni : Casi 11). Actual Sizi \. • M from left lobe, b, whit h is mui h more enlarged than right lobe • 1 >m < hronic bronchialcatarrl bounding; high tension. Patient very . Mr. C. 1 bloroform, tlolonel I .u< as, ( BM and M I opened the bladdei supra p to bladdei. pai ti< ularly the 0 1 tiledlmiddl( i : ily and rapidly, the OPERATION OF TOTAL ENUCLEATION OF PROSTATE 125 lobes separating along both commissures and coming away separately,leaving the urethra behind uninjured. There was very


Clinical lectures on the surgical diseases of the urinary organs . w 1 [ghing \\ Ounces, i \ Patieni : Casi 11). Actual Sizi \. • M from left lobe, b, whit h is mui h more enlarged than right lobe • 1 >m < hronic bronchialcatarrl bounding; high tension. Patient very . Mr. C. 1 bloroform, tlolonel I .u< as, ( BM and M I opened the bladdei supra p to bladdei. pai ti< ularly the 0 1 tiledlmiddl( i : ily and rapidly, the OPERATION OF TOTAL ENUCLEATION OF PROSTATE 125 lobes separating along both commissures and coming away separately,leaving the urethra behind uninjured. There was very little bleeding,and the operation was completed in twenty-four minutes. The recovery was uneventful. Some urine passed naturally onOctober 20, and the whole of it in this way on and after November November 27 he went home to Wales in excellent health, untroubledby any urinary symptoms. On December 1 he wrote : I am feeling. Fig. 55.—Prostate, weighing 6^ Ounces, removed from Patientaged Seventy-two (Case 23). Actual Size. C, Pistol-shaped continuation of left lobe, A, forming so-called middlelobe, which obstructed entrance of catheter ; B, right lobe. splendid. I now make water freely, and have thorough control of November 27, 1904, he wrote : This being the anniversary of myleaving your care two years ago, I cannot let it pass without thanking youfor the splendid work you did on me. Fig. 55 is the prostate, weighing 6\ ounces. The left lobe (a) wascontinued into the bladder, forming a projection like the handle of a OPERATION OF TOTAL ENUCLEATION OF PROSTATE died middle lube—and obstructed the entrance of the:er. CASE 24- J. H ? by Dr. William Curtis, Alton, Hants, August 5, 1902. 1 mptoms for thirty years. Retention twenty-four years ago: urine drawn off by Dr. Curtis. Since then nourine ; ept by catheter. During last two years in great agony from usual symptoms of stone, superadded to thos


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