The surgical diseases of the genito-urinary organs including syphilis . y styled mediancentric hypertrophy. It con-sists of that triangular partof the prostate lying betweenthe ejaculatory ducts, andovergrowth in this situationis believed to be due to theabsence of capsule here. Itmay be found with little or noenlargement elsewhere. Inform it is usually an oval, rounded tumor (there maybe two or more),which grows up from the floor of the back part of the prostatic ure-thra and juts out posteriorly into the cavity of the bladder. It mayreach the size of a small pear, and indeed resemble a pear
The surgical diseases of the genito-urinary organs including syphilis . y styled mediancentric hypertrophy. It con-sists of that triangular partof the prostate lying betweenthe ejaculatory ducts, andovergrowth in this situationis believed to be due to theabsence of capsule here. Itmay be found with little or noenlargement elsewhere. Inform it is usually an oval, rounded tumor (there maybe two or more),which grows up from the floor of the back part of the prostatic ure-thra and juts out posteriorly into the cavity of the bladder. It mayreach the size of a small pear, and indeed resemble a pear in shape,showing a tendency to pedunculation. When hypertrophy invades the lateral lobes, only one may be af-fected, but usually both, more or less general enlargement correspond-ing with the local overgrowth (Fig. 54). Under these circumstancesthe pyriform central tumor tends to fill up the internal orifice of the * Philosophical Transactions, 1806, paper viii. It was not disccverod by was accurately described by Santorini in 1739, and mentioned by Fig. 54 {Coulson). Showing enlarffed prostate with third lobe. through the base of which a false passage has been made. 174 DISEASES OF THE PROSTATE. iiretlira, leaving a passage on either side along its lloor for the mucous membrane on either side of the central mass is oftendrawn uj) between it and the hyjiertrophicd lateral lobes, forming acresceutic bar at the neck of the bladder. Imbedded in the hypertrophied mass, it is usual to ilnd severalsmall circumscribed tumors, dense, hard, seemingly fibrous in charac-ter, easily enucleated and elastic, so that, when cut through in a cleansection of the organ, the cut surface of the tumor overrides the generalsmooth plane of the incision, as if the little mass had previously beencompressed. They are formed of unstriped muscle with some newglandular tissue, and are considered analogous to mammary glandu-lar tumors, or to the glandular bodies which develop (pa
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsyphilis, bookyear188
