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
Not infrequently the affection subsides into the chronic form and the
abscess, having a restricted channel for evacuation, remains as a
suppurating cavity.
_Diagnosis._ The enlargement and tenderness of the prostate as felt on
rectal examination is pathognomonic. If the body of the urine is clear
there is further corroboration, as in cystitis it is more or less turbid
and flocculent or even bloodstained. Micturition is likely to be much
more frequent in cystitis than in prostatitis. Catheterization is much
more painful when the catheter passes the prostate in prostatitis than
in cystitis.
_Prognosis_ is always grave. Some cases recover completely, while others
run on to a fatal termination, and still others merge into the chronic
form. Cases that are complicated by abscess are always to be dreaded, as
chronic suppuration, or pelvic or peritoneal infection, or pyæmia, or
septic poisoning is liable to supervene. As the disease is more common
in the old so it is liable to prove more severe and redoubtable.
_Treatment._ In acute cases active derivation toward the bowels is
desirable. A mercurial purge (calomel—horse or bull 1 to 2 drs.; dog, 2
to 5 grs.) may be followed a few hours later by salines (sodium
sulphate—horse or bull 1 lb.; dog 1 oz.). Sodium sulphate or magnesium
sulphate may also be given with glycerine as an enema. Great benefit may
often be obtained from the application of leeches on the perineum or
around the anus. The diet must be restricted and non-stimulating, mainly
of amylaceous materials, and with the water, flaxseed tea may be
liberally mixed. When the suffering is severe it may be met by camphor,
camphor bromide, ergot, hamamelis, gelsemium or potassium bromide, given
by the mouth or rectum. With violent strangury, opium, belladonna or
hyoscyamus may be used. Some cases may be relieved by the use of enemata
of cold water or pieces of ice in the rectum. In retention of urine,
careful catheterization is imperative, the hand or finger in the rectum
being employed to guide the point of the catheter under the prostate.
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