File:Studies on hypertrophy and cancer of the prostate (1906) (14784684615).jpg

Identifier: studiesonhypertr00youn (find matches)
Title: Studies on hypertrophy and cancer of the prostate
Year: 1906 (1900s)
Authors: Young, Hugh H., 1870-1945 Johns Hopkins Hospital
Subjects: Prostatic Hypertrophy Prostatic Neoplasms Fistula
Publisher: Baltimore, Johns Hopkins Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
R., age 61, married, admitted October 11, 1903.Complaint.— Bladder trouble.Gonorrhoea six times. No sequelae.Present illness began about nine years ago with slight difficulty at the This case should have been No. 16. study of 145 Cases of Perineal Prostatectomy. 269 beginning of urination. Four years later the difficulty had become con-siderable and he consulted a physician who passed a catheter and drew offresidual urine. Since then difficulty and frequency of urination have in-creased. Two months ago patient was treated several times by urethraldilatation with sounds, which was painful and produced hemorrhage. /S. P.—Urination now occurs every two hours during the day and sixtimes at night. He suffers no pain and has no incontinence. Sexual powers.—Erections are less vigorous than formerly, but inter-course is almost normal. Examination.—The patient is a sturdy-looking man, lips of good color.The heart is enlarged, but the sounds are clear. The lungs and abdomenare negative.
Text Appearing After Image:
Fig. 43.—Long pedunculated median lobe, moderate lateral lobes. Rectal.—The prostate does not bulge at all into the rectum, the posteriorsurface is flat and does not give at first the impression of being hyper-trophied. On careful examination, however, it is found to be broaderthan normal and it is impossible to find any upper margin. Urinalysis.—Urine cloudy, acid, 1020, considerable albumin, no sugar.Urea G-6 to the liter. Microscopically, pus cells very numerous. Cystoscopic.—A coude catheter passes with ease and finds 200 cc. residualurine. The cystoscope shows large intravesical hypertrophy of both laterallobes with a deep sulcus between them and on each side. Behind themis a middle lobe which does not seem to be very large. With finger inrectum and cystoscope in urethra, the amount of tissue did not seem to begreater than normal, the cystoscope probably lying in a cleft. 270 Eugli H. Young. Operation, October 15, 1903.—Spinal anesthesia. Perineal prostatectomyby the us

Note About Images