Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
In =Circumscribed Prostatic Abscess= we find, in addition to the general
hyperæmia and swelling, a much more prominent local swelling, the seat
of intense inflammation, at first firm and resistant and later softer
and fluctuating in the centre, which is filled with pus. This may have
its origin in the follicular form, the pus becoming shut up in a
follicle and gradually increasing until it bursts into the urethra, the
bladder, the rectum, the peritoneum, or pelvic fascia and perineum. In
other cases it becomes complicated by pyæmia and secondary abscesses.
=Miliary Abscesses= may be comparatively few in number or generally
diffused through the prostate, and are often the result of a
pre-existing general infection.
_Symptoms._ As the disease usually begins as a local infection the first
symptoms are, as a rule, unattended by fever, which, however, appears in
two or three days as the local lesions increase. The urine may be passed
frequently in small amounts, or there may be frequent straining without
passage of urine, the pressure of the swollen prostate, with or without
spasm of the sphincter vescicæ, causing retention. It is no uncommon
thing to find the last urine passed of a milky or glairy character and,
coagula moulded in the prostatic canals may at times be found. The
presence of spermatic crystals, fusiform, with very pointed extremities,
and precipitated on the addition of ammonium phosphate, is
characteristic of prostatic fluid, (Fürbringer). In other cases there is
incontinence, the urine dribbling away involuntarily as the animal
walks, and especially if anything occurs to excite him. Micturition may
be painless or attended by acute suffering, which causes a sudden arrest
of the flow. Defecation is attended with difficulty and more or less
pain, and obstinate constipation is likely to set in. The animal is
dull, spiritless and seeks to lie undisturbed. Pressure on the perineum
is painful and exercise aggravates the symptoms. Rectal examination by
the hand or finger according to the size of the animal, reveals the
enlarged, tender prostate lying on the cervix vesicæ. This swelling may
be unilateral but most commonly it is bilateral or general. When fever
sets in with a temperature of 102°–104°, thirst, anorexia and weakness
or stiffness in the hind parts may be noticed. In case of abscess, the
urine may be perfectly clear until it bursts into the urethra or bladder
when there is an abundant flow of pus, and rectal examination shows that
the swelling and tension have notably diminished. Should it burst into
the rectum, the pus shows in the fæces. Reinemann records a case in a
bull with dysuria, œdema of the sheath and a swelling like the fist in
the perineum, containing pus, and which communicated with the prostate
and urethra. With the rupture of the abscess there is a marked
amelioration of the symptoms.
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