Inhaltsangabe
This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1867. Not illustrated. Excerpt: ... tory of the case point to acidity of the urine, then the use of alkalies and other measures will at once suggest themselves. The inflammatory stricture, so called, which follows suppressed gonorrhoea will subside on the reappearance of the discharge, and I have often recommended the glans penis to be enclosed in a poultice, and have found this simple remedy successful. DISEASES OF THE PROSTATE GLAND. The prostate gland may become enlarged, and induce irritability of the bladder. The more common form of chronic hypertrophy, unaccompanied by any obvious change of structure of the gland is that to which I now refer. The commencement of this condition, so common in advanced life, is often very insidious. The prostate may have enlarged considerably without interfering with the act of micturition. Months, or perhaps years, may elapse before any inconvenience arrests attention. At length some delay--not to say difficulty--in passing water is experienced. The desire to micturate is more frequent, if not painful. Pain is often felt in the glans penis; but this symptom, unlike the pain from stone in the bladder, is not more acute after micturition. But each act is felt to be incomplete and is unsatisfactory. A man may have long suffered from these symptoms, and if, when examined, the finger be passed up the bowel, his enlarged prostate will be readily detected, and by tilting upwards and forwards the base of the bladder, more uriue may be expelled. Pathology supplies the true explanation of all these symptoms. The enlarged prostate projects upwards into the bladder (sometimes backwards towards the rectum), and urine accumulates behind the prostate. The bladder is never emptied below the level of the prostate. If, therefore, the lower fundus of the bladder be tilted forwar...
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