. Studies on hypertrophy and cancer of the prostate. eter at bed time he has to arise six orseven times during the night. On March 16, 1905, he had a chill followedby fever and pain in the back and his physician made a diagnosis ofpyelitis. study of lJf5 Cases of Perineal Prostatectomy. 309 Sexual powers.—Khovit two years ago erections were weak and inter-course very unsatisfactory, emissions often occurring before condition remained for over a year. For the past eight monthsintercourse has been fairly normal. Examination.—TY^e patient is well nourished with lips of good
. Studies on hypertrophy and cancer of the prostate. eter at bed time he has to arise six orseven times during the night. On March 16, 1905, he had a chill followedby fever and pain in the back and his physician made a diagnosis ofpyelitis. study of lJf5 Cases of Perineal Prostatectomy. 309 Sexual powers.—Khovit two years ago erections were weak and inter-course very unsatisfactory, emissions often occurring before condition remained for over a year. For the past eight monthsintercourse has been fairly normal. Examination.—TY^e patient is well nourished with lips of good , lungs, and abdomen are negative. There is no hernia right epididymis is indurated. Rectal examination.—Yi^terndil hemorrhoids are present in considerablemass. The prostate is markedly and symmetrically enlarged beingapproximately the size of a large lemon. The median furrow is shallowand the notch absent. It is smooth, soft. The seminal vesicles are pal-pable and not indurated and no enlarged glands are to be felt. The urine. Fig. 46.—Case 74. is cloudy, acid. Sp. gr. 1012, there is no sugar, but considerable albu-min (5 per cent). Urea 14 gr. to the liter. Microscopically, pus cells andbacilli, no casts seen. Cystoscopic examination.—A coude catheter passes with ease and finds100 cc. residual urine. This does not represent his residual as he wascatheterized one hour before. (The true residual is 250 cc.) The bladdercapacity is large and the tonicity is good. The cystoscope shows a fairlylarge middle lobe with a deep sulcus on each side of it, as shown in theaccompanying chart. Fig. 46, R. and L. In series U with the beak lookingupward the handle is carried to the left so that as it is elevated it passesinto the sulcus to the right of the middle lobe which becomes progressivelyprominent, as shown in 2, 3, and 4. A corresponding set of pictures is shown by carrying the cystoscope intothe sulcus to the left of the lateral lobe, as shown in series U-2,
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906
