Old Age Deferred: The causes of old age and its postponement by hygienic and therapeutic measuresLorand, Arnold
Science
Old Age Deferred: The causes of old age and its postponement by hygienic and therapeutic measures
Lorand, Arnold
Hygiene; Longevity; Old age
After the testicles the prostatic gland must be examined. As direct
examination of this gland is only possible by a painful examination
through the rectum, we shall have to inquire into the condition of the
functions of this gland. We must find out whether there is a flow of
prostatic liquid and semen (frequency of pollution). It must be
remembered, however, that the flow of a little semen in constipation and
sexual abstinence has no importance.
We must specially inquire about previous attacks of gonorrhœa. Examining
the urine in two fractions, we must ascertain whether the first fraction
is as clear as the second. The presence of a few filaments tells a tale
of previous gonorrhœa, but is of no consequence for the prognosis. It
may be, however, that they possibly indicate the presence of gonococci
in the deeper lying glands of the urethra which, after sexual excesses,
can again come to the surface even after years.
Inquiring for gonorrhœa in the past, we must find out whether the
patient was treated by local applications with instruments to the
posterior part of the urethra, this being the only radical treatment of
chronic gonorrhœa. As a rule, every chronic gonorrhœa invades the
posterior part of the urethra and, usually, inflammation of the
posterior part of the urethra involves also the prostatic gland.
The presence of strictures and hypertrophy of the prostate, unless they
occur in connection with a gonorrhœa, are indicative of a faulty
activity of those glands which influence the formation of fatty or
connective tissue in the body, as will be shown. It may indicate changes
in the thyroid, after extirpation or degeneration of which the
connective tissue in the body is increased, to which fact is also
largely due the occurrence of prostatic hypertrophy.
We must inquire as to the passage of urine. An interrupted stream with
pain on micturition may indicate, in elderly persons, a hypertrophy of
the prostate, especially if these pains are more frequent in cold
weather. The bladder must be examined for the presence of stone. The
presence of stone, as also of long-standing gleet and strictures that
are not cured, lessen the chances of a long life, the dangers of
cystitis, and ascending pyelonephritis, and nephritis, hanging, as the
sword of Damocles, over the heads of their unfortunate possessors.
Gonorrhœa, if it occurs frequently and attacks the prostate, is a great
danger both to the mental stability and sexual powers. The presence of
great sexual desires, with more or less impotence, must also be taken
into consideration when we are collecting evidence to find out the
chances of long life in an individual.
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