Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
even with a surgical bearing, I remark that the prostatic or rudimentary
uterus, like a germ not wholly blighted, is prone to an occasional
sprouting or increase beyond its prescribed dimensions--a hypertrophy in
barren imitation, as it were, of gestation. [Footnote]
[Footnote: This expression of the fact to which I allude will not, I
trust, be extended beyond the limits I assign to it. Though I have every
reason to believe, that between the prostate of the male and the uterus
of the female, the same amount of analogy exists, as between a coccygeal
ossicle and the complete vertebral form elsewhere situated in the spinal
series, I am as far from regarding the two former to be in all respects
structurally or functionally alike, as I am from entertaining the like
idea in respect to the two latter. But still I maintain that between a
prostate and a uterus, as between a coccygeal bone and a vertebra, the
only difference which exists is one of quantity, and that hence arises
the functional difference. A prostate is part of a uterus, just as a
coccygeal bone is part (the centrum) of a vertebra. That this is the
absolute signification of the prostate I firmly believe, and were this
the proper place, I could prove it in detail, by the infallible rule of
analogical reasoning. John Hunter has observed that the use of the
prostate was not sufficiently known to enable us to form a judgment of
the bad consequences of its diseased state. When the part becomes
morbidly enlarged, it acts as a mechanical impediment to the passage of
urine from the bladder, but from this circumstance we cannot reasonably
infer, that while of its normal healthy proportions, its special
function is to facilitate the egress of the urine, for the female
bladder, though wholly devoid of the prostate, performs its own function
perfectly. It appears to me, therefore, that the real question should
be, not what is the use of the prostate? but has it any proper function?
If the former question puzzled even the philosophy of Hunter, it was
because the latter question must be answered in the negative. The
prostate has no function proper to itself per se. It is a thing distinct
from the urinary apparatus, and distinct likewise from the generative
organs. It may be hypertrophied or atrophied, or changed in texture, or
wholly destroyed by abscess, and yet neither of the functions of these
two systems of organs will be impaired, if the part while diseased act
not as an obstruction to them. In texture the prostate is similar to an
unimpregnated uterus. In form it is, like the uterus, symmetrical. In
position it corresponds to the uterus. The prostate has no ducts proper
to itself. Those ducts which are said to belong to it (prostatic ducts)
are merely mucous cells, similar to those in other parts of the urethral
lining membrane. The seminal ducts evidently do not belong to it. The
texture of the prostate is not such as appears in glandular bodies
generally.
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