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Abscess of the prostate is one of the less frequent complications of gonorrheal invasion of the posterior urethra. In fully 75 per cent. of the cases, the abscess points toward the urethra, usually causing complete retention of urine and requiring regular catheterization until such time as spontaneous rupture into the urethra occurs. This is usually from seven to ten days after the onset of retention, but I have seen cases that have gone as long as three weeks before being relieved by the abscess discharging into the urethra. Operative interference is rarely justified in these cases, for incision of the abscess either through the perineum or through the urethra by perineal incision is a comparatively radical procedure when it is remembered that it is the rule for such abscesses to rupture into the urethra if given time. The simpler procedure of draining through the rectum, save perhaps in cases about
Nelken A. PROSTATIC ABSCESS OPENED THROUGH THE CYSTO-URETHROSCOPE WITH THE HIGH-FREQUENCY SPARK. JAMA. 1915;LXIV(5):431. doi:10.1001/jama.1915.02570310051020