. Studies on hypertrophy and cancer of the prostate. i R. Young. Present illness began tv/o years ago with slight difficulty and frequencyof urination which gradually increased until January, 1904, when he hadcomplete retention of urine, requiring catheterization. Six months latera second retention after which he was catheterized for a week. Sincethen urination has been more difficult and he has catheterized himself fre-quently on account of complete retention of urine. For one month thecatheter has been used once daily and micturition about every hour. Therehas been a slight pain in the bladd
. Studies on hypertrophy and cancer of the prostate. i R. Young. Present illness began tv/o years ago with slight difficulty and frequencyof urination which gradually increased until January, 1904, when he hadcomplete retention of urine, requiring catheterization. Six months latera second retention after which he was catheterized for a week. Sincethen urination has been more difficult and he has catheterized himself fre-quently on account of complete retention of urine. For one month thecatheter has been used once daily and micturition about every hour. Therehas been a slight pain in the bladder, none elsewhere. Hemorrhage onlyonce. No loss of weight. General health excellent. S. P.—»The patient catheterizes himself at bedtime and withdraws abouta pint of residual urine, after that does not void until morning, but dur-ing the day voids urine about every hour Vith difficulty and occasionallyslight pain. Sexual powers were normal up to a month Fig. 50.—Case 121. Examination.—Patient is sparely built, but a healthy looking man, withlips of good color. No arteriosclerosis. Pulse regular and of good vol-ume. The chest and abdomen are negative. Genitalia.—Negative. Rectal.—Th-Q prostate is slightly enlarged, smooth, in places slightly ir-regular, elastic but firmer than normal, and at the upper end near thejuncture with the seminal vesicles there is a slight induration. The semi-nal vesicles are soft and not distended. No enlarged glands are to befelt. Massage of the prostate shows a moderate amount of tenderness,there is no intervesicular mass, no induration in the region of the trigone. Urinalysis.—Cloudy, acid, 1027, albumin a trace, no sugar, microscopic-ally, pus, no casts, no bacteria. Cystoscopic.—A coude catheter passes with ease and finds only 100 cc. I study of Cases of Perineal Prostatectomy. 417 residual urine. The bladder is irritable, rebels at 300 cc. and is evidentlyslightly contracted. The cys
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906
