The practice of surgery . e havebeen advocated from time to time in the past, and I mention them onlyto protest against their employment. At one time orchidectomy, orremoval of the testes, promised great things. But faith is necessary mits, advocate to uphold a shadow of its claim. In the same way, vasec-tomy, or excision of portions of the vasa deferentia, was loudly we hear Httle of these operations. If they are useful, it mustbe mainly for the mental effect which they produce. Possibly one ofmy readers may be inclined to employ them in the case of hystericindividuals who r
The practice of surgery . e havebeen advocated from time to time in the past, and I mention them onlyto protest against their employment. At one time orchidectomy, orremoval of the testes, promised great things. But faith is necessary mits, advocate to uphold a shadow of its claim. In the same way, vasec-tomy, or excision of portions of the vasa deferentia, was loudly we hear Httle of these operations. If they are useful, it mustbe mainly for the mental effect which they produce. Possibly one ofmy readers may be inclined to employ them in the case of hystericindividuals who refuse a more radical operation, but rarely othei-wise. 1 A. J. A. Hamilton, An Apparatus for the Intermittent Post-operative Drainageof the Bladder, Jour. Amer. Med. Assoc, March 21, 1908. , j* k 2 Many cases of functional failure after this operation have been found to bedue to psychic causes For an important essay on this subject see Samuel Alexander,Contribution to the Surgery of the Prostate, Ann. Surg., August, Fig. 261.—Hamiltons bladder drainage appa-ratus. 428 GEXITO-LKIXARY ORGANS It is 11 surprising fact that the operation of oi-chitlectoniy has beenfollowed by a considerable mortality in cases of old men. If citherorchidectoni}- or vasectomy be done, I advise that the surgeon ajiproachthe organ by the high incision above Pouparts ligament, throughwhich he may draw up and excise the testicle, or readily remove a por-tion of the vas. CANCER OF THE PROSTATE Cancer of the prostate is not especially uncommon and deservesour consideration—our serious consideration. Some genito-urinarysurgeons are coming to look upon cancer of the prostate as less fatalnecessarily than it was regarded a few years ago, and this feeling isdue to recent successes in radical operations on prostatic cancer. Can-cer and sarcoma both occur in the prostate, but cancer is nine timescommoner there than is sarcoma. For years, writers have been as-serting that cancer of the prostate has no r
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