File:Studies on hypertrophy and cancer of the prostate (1906) (14804541713).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

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passes with ease, and a dilating follower. No. 29-P., passes into thebladder. (In this case rupture of the urethra was produced at operationby an orderly who was holding the urethral staff.) March 3, 1906.—Patient voids with a better stream and the fistula ismuch smaller. There is still slight dribbling after urination. May 14, 1906.—The fistula is almost closed, only a few drops of urineescape. There is no incontinence, but the end of urination is accompanied.by a slight dribbling. May 17, 1906.—^There is a pin point fistula in the perineum. Only a fewdrops of urine escape through it and the patient voids twice at night and 420 Rugli H. Young. at intervals of four hours during the day. Has no incontinence of urineat night, but during the day occasionally, while walking, there is a slightinvoluntary escape of urine, hut this is improving. Exaviination.—Silver catheter passed with ease. There is a slight hitchat the membranous urethra, but after manipulation the catheter passes
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Fig. 51.—Large median and lateral lobes. Case 122. with ease and withdraws 25 cc. residual urine, bladder capacity 450 cc.Voided urine is almost clear and contains microscopically only a fewpus cells and bacilli. June 16, 1906.—Patient returns for examination. He says that the in-continence has ceased. He is able to retain urine for three or four hours,and the perineal fistula is now very small. His condition is excellent. study of Ho Cases of Perineal Prostatectomy. 421 September 18, 1906.—Ttie patient voids urine naturally, five times dur-ing the day and twice at night, about half a pint at a time, no pain, noerections. There is a pin-point perineal fistula through which a few drops ofurine escape during urination. A catheter passes but detects a strictureof large caliber at the membranous urethra. There is no residual urinepresent. The stricture is dilated up to 35-F. with the Kollmann dilator,and the fistula partially excised and curetted. Pathological report.—The specimen

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