In senile hypertrophy of the prostate there is sometimes obstruction to the outflow of urine, due to an enlargement or deformity of the middle or lateral lobes, giving rise to a series of disagreeable symptoms, such as frequency of urination, pain, tenesmus, burning or acute retention, and resulting in complete or incomplete retention, followed in nearly every case by cystitis, pyelitis, and fatal nephritis or pyelonephritis.
With the object of overcoming this condition the following various procedures have been resorted to: The use of the catheter to relieve the retention by drawing off the urine as frequently as indicated by the amount of residuum; suprapubic fistula, by means of which an artificial urethra is made in the hypogastric region, through which the patient urinates, or draws his urine by a catheter or tube; dilatation of the prostatic urethra with sounds or dilators every few days; galvano-puncture, by means of a
GUITERAS R. PROSTATECTOMY VERSUS PROSTATOTOMY IN THE RADICAL TREATMENT OF SENILE HYPERTROPHY OF THE PROSTATE. JAMA. 1901;XXXVII(18):1156–1161. doi:10.1001/jama.1901.62470440006001b
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