. The principles and practice of modern surgery. er—(or perhaps one of Staffords lanceted stiletsmay be advantageously employed for that purpose. But if this cannotbe done, the last resource is Puncture of the Bladder above the Pubes. This is easily per-formed by making a small incision through the linea alba just above the and persuading them to abandon their teazing nostrums and meddlesome anxiety, I havegenerally succeeded in allaying the morbid sensibility of the affected parts, and restoringtheir tone, by the introduction of a small seton in the perineum, and the daily apphcationof the co
. The principles and practice of modern surgery. er—(or perhaps one of Staffords lanceted stiletsmay be advantageously employed for that purpose. But if this cannotbe done, the last resource is Puncture of the Bladder above the Pubes. This is easily per-formed by making a small incision through the linea alba just above the and persuading them to abandon their teazing nostrums and meddlesome anxiety, I havegenerally succeeded in allaying the morbid sensibility of the affected parts, and restoringtheir tone, by the introduction of a small seton in the perineum, and the daily apphcationof the cold-water dash to the whole external genito-urinary apparatus. I have seldom resorted to the fashionable process of cauterization, but the result of mylimited experience of it has fallen far short of its pretensions.—F.] * Sir B. Brodie gives a case in which enlargement of the prostate in a man aged 31, fol-lovsring gonorrhcEa, was cured by the iodide of potassimii; and tire same remedy has beenused as a local application in the senile DISEASES OF THE BLADDER. 447 pubes, and then thrusting a long trocar and canula downwards and back-wards into the bladder, where it is not covered by the peritoneum. Thecanula must be retained, and the patient be kept on his back to preventextravasation;—and no time should be lost in restoring the naturalpassage. V. Calculi of the prostate are small reddish-brown concretions ofphosphate of lime formed in the ducts of the gland. They cause ob-scure irritation of the neck of the bladder, and difficulty of may perhaps be felt by the finger in the rectum. Sometimes itmay be possible to remove some of them with the urethral forceps—orif there are many contained in one cyst, to cut upon them from theperineum: but in general the only thing to be done is to keep the urethrawell dilated with bougies, so as to favor their spontaneous escape. VI. SciRRHus of the prostate is a disease of very rare occurrence. Inone or two cases
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