_Prostatorrhœa_, may exist as an independent, uncomplicated and local
disease, or in conjunction with spermatorrhœa. My experience leads me
to remark, that the latter seldom exists without the former, but that
prostatorrhœa commonly exists as an independent disease; and when the
flow of semen does not amount to sufficient, in frequency, to consider
it a cause or a consequence of disease. In my judgment, this flow of
glary, viscid fluid is most commonly observed while straining at stool
from constipation. Young men very commonly apply to specialists and
exhaust their funds and return to the less pretentious family doctor
for a more satisfactory and truthful statement. Even with this little
discharge of prostatic fluid, and when no sign of spermatorrhœa existed
with it, the young man may experience all the phenomena of true and
long-standing spermatorrhœa. His mind suffers, as well as his body,
with imaginary nervous phenomena too numerous to mention. But in
these conditions it is not uncommon to find very troublesome disease
of the prostate gland, brought on by gonorrhœa, sexual excesses or
masturbation, existing alone or with true spermatorrhœa.
An examination will reveal enlargement and tenderness of the gland,
commonly irritation of the neck of the bladder. If we make inquiry, the
history of prostatic inflammation will be obtained, and gonorrhœa or
venereal excesses. Pressure upon the prostate, through the rectum, will
not uncommonly cause a discharge of prostatic liquid, which is followed
by a smarting sensation. Copulation and ejaculation are sometimes
followed by a burning pain in the prostate gland, which lasts sometimes
a few hours――commonly a few moments. Prolonged erection is followed
by a discharge of viscid fluid, not ejaculated, but simply flowing
away. When the bowels are constipated, as scybala pass the gland, a
viscid fluid is pressed out and drips from the end of the penis with
a smarting soreness, prolonged in the gland. The fluid is not hurled
forth, or ejaculated in jets, like semen, but a thin glary fluid. The
disease is commonly only local, and needs very little constitutional
treatment.
The tinct. staphisagria, so highly recommended by many, will often
act very kindly as an adjunct, but will not cure the disease. Cascara
sagrada must be used for a long time, to regulate the bowels and
digestion. Faradisation, localized and general, is the only agency that
may at nearly all times be relied on for permanent relief.
When the disease exists with true spermatorrhœa the above treatment is
none the less essential, and only needs modification to meet special
indications.
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