. Surgery, its principles and practice . interesting group of cases wdth marked prostatic symptomsand partial or complete retention of urine, but with very little enlarge-ment of the prostate. On gross examination they contain no spheroids;. Fig. 213.—Represexts a Fibromusculah Form of Hypertrophy. the cut surface is more homogeneous and fibrous. The prostatic obstnic-tion is a result of inflammatory processes which produce a fibrous hyper-plasia about the vesical orifice or result in the formation of an inflamma-tory median bar. The microscopic examination of the median bar inthese cases has


. Surgery, its principles and practice . interesting group of cases wdth marked prostatic symptomsand partial or complete retention of urine, but with very little enlarge-ment of the prostate. On gross examination they contain no spheroids;. Fig. 213.—Represexts a Fibromusculah Form of Hypertrophy. the cut surface is more homogeneous and fibrous. The prostatic obstnic-tion is a result of inflammatory processes which produce a fibrous hyper-plasia about the vesical orifice or result in the formation of an inflamma-tory median bar. The microscopic examination of the median bar inthese cases has always demonstrated its inflammatory nature, while thelateral lobes present no changes other than those noted in chronic prosta-titis. Chronic inflammatory processes have been found very frequentlyin our cases, but as a large percentage of the patients were suffering fromchronic cystitis one would expect prostatitis to be a frequent well-marked prostatitis was present in 58 per cent.; a slight prostatitis 410 SURGERY OF THE PROSTATE. with a few limited areas of inflammation in 31 per cent.; no jDrostatitisat all in 11 per cent. We have already referred to the views of Ciechanowski regarding therole which prostatitis


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