Annals of surgery . sluggish; the wound is healing very slowly, and in everyphase of the case there is confirmatory evidence of the unsatis-factory material of the patient. Last observation, two monthsafter operation. Patient is out of bed and about, but still inunsatisfactory general physical condition. Perineal wound hasnot entirely healed, and there remains some leakage between theurinary acts, which are about from one to two hours. Yet thereis slow but progressive improvement of the bladder, the general PROSTATECTOMY IN TWO STAGES. 573 condition and the dribbling, and it would seem that ul
Annals of surgery . sluggish; the wound is healing very slowly, and in everyphase of the case there is confirmatory evidence of the unsatis-factory material of the patient. Last observation, two monthsafter operation. Patient is out of bed and about, but still inunsatisfactory general physical condition. Perineal wound hasnot entirely healed, and there remains some leakage between theurinary acts, which are about from one to two hours. Yet thereis slow but progressive improvement of the bladder, the general PROSTATECTOMY IN TWO STAGES. 573 condition and the dribbling, and it would seem that ultimaterecovery is only a question of time. Case VIII.—W. B., aged 70. April, 1906. Patient wasbrought to the hospital as an emergency case, having sufferedoutside the hospital for several days from retention, which hadbeen relieved by aspiration. At the time of entrance bladder wasgreatly distended above the pubis and patient was suffering in-tensely. A catheter introduced by one of the assistant staff far Case enough to draw urine obtaining no return and being clogged withblood, further attempts had been discontinued. General Condition.—Shows the evidences of urinary absorp-tion. Tongue dry and coated, breath fetid. Previous History.—Patient has shown the usual symptoms ofprostatism for a number of years; the present is the first attackof retention. z^jj^ CHARLES H. CHETWOOD. Examination.—Urethral length uncertain. Prostate per rec-tum symmetrically enlarged, soft and resilient, giving the feelof the presenting body of waters during pregnancy. Operation, April 24, 1906. Suprapubic incision, which dis-closes infiltration of urine in the prevesical region, presumablyfrom the aspirating puncture, as no rent in the vesical wall couldbe found. The bladder when opened is found full of blood-clotsand urine. The bladder is tremendously engorged. Perinealopening is made for drainage. Patients subsequent condition is very bad. Toxemia supervenes, and febrile
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
