A manual of modern surgery - an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners (1899) (14596132480)

Rectum much distended artificially
Identifier: manualofmodernsu1899robe (find matches)
Title: A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners
Year: 1899 (1890s)
Authors: Roberts, John B. (John Bingham), 1852-1924
Subjects: Surgical Procedures, Operative Surgery
Publisher: Philadelphia : Lea Brothers & Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School



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prostate gland, its utricle, the ampullse, or dilatedends of the vasa deferentia, and the seminal vesicles are enclosed in afibrous sheath, whichprobably is the reasonthat infections from theadjacent rectum seldomoccur. Infections fromthe urethra, however, arecommon because the routeis so direct along the con-tinuous mucous mem-brane. The ordinary in-fections of the prostateand its appendages, asthe seminal tubes andvesicles have been termed,are, as in the case of thebladder, gonorrhoeal, sep-tic and tubercular. Acuteprostatitis is usually gon-orrhoeal and due to ex-tension of the diseasesfrom the urethra. It isalso due to a combinationof injury and sepsis re-sulting from abrasionsand lacerations made withdirty urethral instru-ments, such as catheters,bougies and stone search-ers. It follows cystitis or urethral stricture at times, and it may alsooccur as a sequel of typhoid fever, influenza and some other generaldiseases. Tubercular prostatitis is usually chronic and associated with
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-// Section through a frozen body with the rectum much dis-tended artificially. 1, peritoneal fold in front of bladder ; 2,the bladder ; 3, internal orifice of urethra ; 4, prostate gland ; 5,dorsal vein of penis ; 6, bulbous urethra ; 7, Cowpers glands ;8, upper end of membranous urethra ; 9, recto-vesical fold ofperitoneum ; 10, prostate gland ; 11, abscess in bulbous urethra.(Garson. ) 744 DISEASES OF THE URINARY ORGANS. tuberculosis of the epididymis or the seminal vesicles or bladder.Septic and gonorrhoeal prostatitis may be chronic at times, and prostaticcalculi may give rise to a chronic inflammation. The inflammation inprostatitis may involve only the follicles or also the parenchyma of thegland. The latter is a much more serious disease and may end inprostatic abscess. Infectious phlebitis of the prostatic veins or infec-tious lymphangitis of the lymph vessels of the region may lead to peri-prostatic inflammation and abscess, which will perhaps spread exten-sively through the