Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
Fig. 13, Plate 60.--The prostate, bc, is considerably enlarged
anteriorly, b, in consequence of which the prostatic canal appears more
horizontal even than natural. The catheter, d, occupying the canal lies
nearly straight. The lower wall, c, of the prostate is much diminished
in thickness. A nipple-shaped process, a, is seen to be attached by a
pedicle to the back of the upper part, b, of the prostate, and to act
like a stopper to the neck of the bladder. The body a being moveable, it
will be perceived how, while the bladder is distended with urine, the
pressure from above may block up the neck of the organ with this part,
and thus cause complete retention, which, on the introduction of a
catheter, becomes readily relieved by the instrument pushing the
obstructing body aside.
[Illustration]
Plate 60.--Figure 13.
COMMENTARY ON PLATES 61 & 62.
DEFORMITIES OF THE PROSTATE.--DISTORTIONS AND
OBSTRUCTIONS OF THE PROSTATIC URETHRA.
The prostate is liable to such frequent and varied deformities, the
consequence of diseased action, whilst, at the same time, its healthy
function (if it have any) in the male body is unknown, that it admits at
least of one interpretation which may, according to fact, be given of
it--namely, that of playing a principal part in effecting some of the
most distressing of "the thousand natural ills that flesh is heir to."
But heedless of such a singular explanation of a final cause, the
practical surgeon will readily confess the fitting application of the
interpretation, such as it is, and rest contented with the proximate
facts and proofs. As physiologists, however, it behooves us to look
further into nature, and search for the ultimate fact in her prime
moving law. The prostate is peculiar to the male body, the uterus to the
female. With the exception of these two organs there is not another
which appears in the one sex but has its analogue in the opposite sex;
and thus these two organs, the prostate and the uterus, appear by
exclusion of the rest to approach the test of comparison, by which their
analogy becomes as fully manifested as that between the two quantities,
a-b, and a+b the only difference which exists depends upon the
subtraction or the addition of the quantity, b. The difference between a
prostate and a uterus is simply one of quantity, such as we see existing
between the male and the female breast. The prostate is to the uterus
absolutely what a rudimentary organ is to its fully developed analogue.
The one, as being superfluous, is in accordance with nature's law of
nihil supervacaneum nihil frutra, arrested in its development, and in
such a character appears the prostate. This body is not a gland any more
than is the uterus, but both organs being quantitatively, and hence
functionally different, I here once more venture to call down an
interpretation of the part from the unfrequented bourne of comparative
anatomy, and turning it to lend an interest to the accompanying figures
Public-domain text, read in full here on John Shaqi.
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