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
_Treatment._ This has been considered as mainly palliative. Special care
of the general health and above all of the diet which should be
moderate, farinaceous and laxative, protection against cold and wet, the
correcting of any coexisting trouble of the urinary or generative
organs, and the removal from all sources of generative excitement are
important elements. Occasional small doses of Epsom or Glauber salts in
draught or enema obviate rectal hyperæmia. Ergot, potassium iodide
internally, and iodine or mercurial ointment to the perineum have had
little good effect. Möller claims to have secured improvement from the
injection into the prostate at intervals of fourteen days, of a solution
of two parts each of tincture of iodine and iodide of potassium, and
sixty parts of distilled water. A small hypodermic syringe is used and
the injection is made through the rectum directly into the substance of
the prostate. Glass has adopted the recent surgical alternative of
castration, with the result of marked relief from the active symptoms in
a number of cases, but with a more rapid advance through emaciation and
marasmus to death in three or four weeks in others. We would suggest a
careful antiseptic castration in such cases, to obviate any added
trouble from absorbed toxins or sepsis.
For the human subject, Lydston strongly advocates removal of the
enlarged prostate by surgical means in strong, vigorous subjects, with
healthy bladder and kidneys. The difficulty of such an operation in the
dog is greatly enhanced by the relatively greater length of the
pubio-ischiatic symphysis, and the lessened diameter of the pelvic
cavity. Yet with the comparative immunity of the dog from suppuration,
and the hopelessness of the case without such radical measure, and with
the rigid application of an antiseptic technic, the operation would
appear to be fully justified. It would be contra-indicated in all
advanced cases, in which the prostate was the seat of active suppuration
with discharge into the urethra, in cases complicated by urethritis,
cystitis or nephritis, in cases in which there is marked prostration
from sepsis or absorbed toxins, and generally in old, worn out and
cachectic animals.
Short of this, in cases complicated by cystitis, antiseptics by the
stomach and as injections into the bladder are desirable. Eucalyptol in
doses of ten minims four times a day, or beta naphthol, guaiacol, or
phenol have been used in man. As injections mercuric chloride 1:20,000;
boric acid, saturated solution; or carbolic acid ·5:100 (Lydston) may be
used warm several times a day.
TUBERCULOSIS OF THE PROSTATE.
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