Identifier: studiesonhypertr00youn (find matches)
Title: Studies on hypertrophy and cancer of the prostate
Year: 1906 (1900s)
Authors: Young, Hugh H., 1870-1945 Johns Hopkins Hospital
Subjects: Prostatic Hypertrophy Prostatic Neoplasms Fistula
Publisher: Baltimore, Johns Hopkins Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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en placed in various portions ofthe wound, the levator ani muscles were drawn together with catgut(two sutures) in front of the rectum and the skin wound closed on eachside with interrupted catgut sutures, leaving only a small portion open atthe angle in front for exit of the gauze drainage. The retained rubber catheter (which was of considerable service inmaking the anastomosis of the urethra and bladder) was fastened in place,by adhesive plaster around the penis, and the patient was returned tothe ward. 506 Hugli H. Young. During the operation he received 1000 cc. salt solution infused beneaththe breast, and his condition throughout was good, pulse varying from 65to 92, and SO at the end of the operation, which required two hours. DESCKIPTION OF SPECIMEN BEMOVED AT OPERATION. Oross description.—Specimen consists of prostate, prostatic urethra,seminal vesicles, a cuff of the bladder including the anterior portion of thetrigone, and the ampullae of both vasa deferentia (Figs. 6, 7).
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Fig. 9.—Diagram showing plan of vesico-urethral anastomosis. Prostate is smooth, symmetrical, moderately enlarged, measures 5 x 41/4cm. Its lateral edges are distinct and its surface has been cleanly dis-sected from surrounding tissues. Its upper limit on the left side mergesinto the vesical, but on the right side there is a groove between the lowerlimit of the vesical and the upper limit of the prostate. There is nomedian groove nor definite notch. On section the prostate consists of firm,white, fairly homogenous tissue. Here and there can be seen areas wherethe glandular structure is more apparent, but the general picture on crosssection is that of fibrous tissue. Vesicles.—On the right side the vesicle is continuous with the prostate,and is quite hard to the palpating finger. On the left side it stands out An Operation for Cancer of Prostate. 507 as a distinct separate structure and is soft on palpation. The tissue be-tween the vesicles is firm, but does not stand up as a defin

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