Diseases of the bladder, prostate gland, and urethra : including a practical view of urinary diseases deposits and calculi / by Frederick James Gant.

  • Gant Frederick James, 1825-1905.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the bladder, prostate gland, and urethra : including a practical view of urinary diseases deposits and calculi / by Frederick James Gant. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    true ligamentous attacliments, and connection with the urethra, is a tolerably fixed point. The funnel-shaped outlet still remains the lowest portion in front, but it is elevated relatively to the prostate; the inferior fundus, also rising to a higher level, is relatively less dependent; while externally, the peritoneal pouch recedes to some extent from the base, thus presenting a larger triangular space against the rectum, and the summit of the bladder, in front of the superior peritoneal false ligament, is more exposed, or comes in contact with the wall of the abdo- men above the pubes. The age of the subject examined must not be over- looked in noticiag the relative anatomy of the bladder. In infancy and youth, the neck is the lowest portion of the bladder,—lower than the inferior fundus; the prostate, in front, around this portion, is of much smaller size or rudimentary; and the bladder hes partly in the cavity of the pelvis, but projectiug upwards more or less above the brim iuto the hypogastric region. In old age, on the other hand, the inferior fundus is even more capacious and dependent than ia the adult, and any enlargement of the prostate will iucrease this proportionate difference; so that if the finger be intro- duced through the neck of the bladder, as ia hthotomy,the fundus is felt inchning downwards, and as the prostate projects upwards, the finger must be hooked downwards to reach the fundus. In the female, the prostate being absent, the inferior fundus is less relatively dependent below the neck of the bladder, but the capacity of the whole organ is perhaps lar<^er than in the male; and its width from side to side