We may apply the general term "contracture of the neck of the bladder" to designate all those pathologic processes involving the region of the internal vesical sphincter and the adjacent periurethral tissues of the prostatic urethra that do not belong to the class of true neoplastic formations, and that result in a greater or less coarctation, rigidity or distortion of this portion of the urethrovesical canal. The fibromas or adenomas that may be located in this region are usually grouped in the category of so-called "hypertrophy of the prostate," although, correctly speaking, fibro-adenomas of the prostate would be a better appellation. When the latter are unaccompanied by fibrotic and inflammatory lesions leading to stenosis of the vesical sphincteric ring, they make a variety quite distinct from what we wish to term "contracture of the neck of the bladder."
The appellation "median bar" should not be employed because its application is
BUERGER L. PATHOLOGY AND OPERATIVE TREATMENT OF CONTRACTURE OF NECK OF BLADDER. JAMA. 1919;73(22):1677–1685. doi:10.1001/jama.1919.02610480027009
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