Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
In short, the facts which prove what it is not, prove what it
actually is--namely, a uterus arrested in its development, and as a sign
of that all-encompassing law in nature, which science expresses by the
term "unity in variety." This interpretation of the prostate, which I
believe to be true to nature, will last perhaps till such time as the
microscopists shall discover in its "secretion" some species of
mannikins, such as may pair with those which they term spermatozoa.]
Fig. 1, Plate 61.--The prostate, a b, is here represented thinned in its
walls above and below. The lower wall is dilated into a pouch caused by
the points of misdirected instruments in catheterism having been rashly
forced against it.
[Illustration]
Plate 61.--Figure 1.
Fig. 2, Plate 61.--The prostate, a b, is here seen to be somewhat more
enlarged than is natural. A tubercle, b, surmounts the lower part, c, of
the prostate, and blocks up the vesical orifice. Catheters introduced by
the urethra for retention of urine which existed in this case, have had
their points arrested at the bulb, and on being pushed forwards in this
direction, have dilated the bulb into the form of a pouch, seen at d.
The sinus of the bulb, being the lowest part of the urethral canal, is
very liable to be distorted or perforated by the points of instruments
descending upon it from above and before. [Footnote]
[Footnote: When a stricture exists immediately behind the bulb, this
circumstance will, of course, favour the occurrence of the accident.
"False passages (observes Mr. Benjamin Phillips) are less frequent here
(in the membranous part of the urethra) than in the bulbous portion of
the canal. The reason of this must be immediately evident: false
passages are ordinarily made in consequence of the difficulty
experienced in the endeavour to pass an instrument through the
strictured portion of the tube. Stricture is most frequently seated at
the point of junction between the bulbous and membranous portions of the
canal; consequently, the false passage will be usually anterior to this
latter point."--(On the Urethra, its Diseases. &c., p. 15.) ]
[Illustration]
Plate 61.--Figure 2
Fig. 3, Plate 61.--A cyst, c, is seen to grow from the left side of the
base of the prostate, a b, and to form an obstruction at the vesical
orifice.
[Illustration]
Plate 61.--Figure 3.
Fig. 4, Plate 61.--A globular excrescence, a, appears blocking up the
vesical orifice, and giving to this the appearance of a crescentic slit,
corresponding to the shape of the obstructing body. The prostate, b b,
is enlarged in both its lateral lobes. A small bougie, c, is placed in
the prostatic canal and vesical opening.
[Illustration]
Plate 61.--Figure 4
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account