File:Clinical lectures on the surgical diseases of the urinary organs (1908) (14594156940).jpg

Identifier: clinicallectures1908frey (find matches)
Title: Clinical lectures on the surgical diseases of the urinary organs
Year: 1908 (1900s)
Authors: Freyer, P. J. (Peter Johnston), Sir, 1851-1921
Subjects: Genitourinary organs Urogenital System Urogenital System Urethra
Publisher: New York : William Wood & Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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mpletely closed. On February 8, 1906,he wrote from Auckland : I am in the best of health, and have had nourinary trouble or pain since the operation, three and a half years ago.In fact, I feel as well as I ever did in my life ; can hold or pass water atwill like a man of twenty-one, although I am in my sixty-ninth year. The prostate (Fig. 54) weighs 4^ ounces, is non-symmetric-ally enlarged, the left lobe being much larger than the right,with a middle lobe behind the urethral orifice, formed byan outgrowth from the left lobe. i24 OPERATION OF TOTAL ENUCLEATION OF PROSTATE iptain J , aged seventy-two, came from Wales to consult me October 24, 1902, on the advice of Dr. A. Rees, of Cardiff,and Dr. Ironside, of Hampstead. Prostatic symptoms for nine years; retention of urine six \car> ago; much pain and hamaturia for fouryens ; catheter regularly employed for three year-. turbid urine containing some pus and mucus.Sounded, hut no >tone found. Prostate enormously enlarged perrectum^
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. w 1 (ghing \\ Ounces, i \ Patieni : Casi 11). Actual Sizi \. • M from left lobe, b, whit h is mui h more enlarged than right lobe • 1 >m < hronic bronchialcatarrl bounding; high tension. Patient very . Mr. C. 1 bloroform, tlolonel I .u< as, ( BM and M I opened the bladdei supra p to bladdei. pai ti< ularly the 0 1 tiledlmiddl( i : ily and rapidly, the OPERATION OF TOTAL ENUCLEATION OF PROSTATE 125 lobes separating along both commissures and coming away separately,leaving the urethra behind uninjured. There was very little bleeding,and the operation was completed in twenty-four minutes. The recovery was uneventful. Some urine passed naturally onOctober 20, and the whole of it in this way on and after November 8.On November 27 he went home to Wales in excellent health, untroubledby any urinary symptoms. On December 1 he wrote : I am feeling

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