Clinical aspect of the enlarged prostate : with a review of 67 cases / by James N. Vander Veer.

  • Vander Veer, James N., 1877-1937.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Clinical aspect of the enlarged prostate : with a review of 67 cases / by James N. Vander Veer. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    fully noted regarding location and character, as pains which are referred to the back and in the neighborhood of the anus, and which shoot down the thighs, have proven in a large num- ber of cases at operation to portray prostatic conditions of malignant type, or beginning rec- tal conditions which early involve the pros- tate and its accompanying nerve plexus. Temperature and Pulse.—19 out of the 41 cases had a normal temperature, but in 16 the temperature was raised somewhat, and in 6 it was at a subnormal point. The pulse was normal in 21 cases; in 16 it was hypernormal, while in 4 it was subnormal. Palpation.—By abdominal palpation and bi- manual palpation, 4 cases showed a marked enlargement which could be easily made out with the hand upon the abdominal wall. By digital examination, it was possible to note 2 with great enlargement of the right lobe, 3 with enlargement of the left lobe, 4 with sus- pected enlargement of the median lobe, while 32 showed some enlargement of both lateral lobes. Of the remaining 26 cases, the records of the physical examinations are lacking and it cannot be stated what the percentage was of the various enlargements. It is to be noted that in 13 of the cases the mucous membrane was adherent to the rectal wall, 10 of these be- ing carcinomatous, as proved later; 3 of these 13 cases, however, did not come to operation or autopsy. Percussion.—In general, this has been nega- tive in its results, save as an enlarged prostate, with a retention complete or partial, which has given some idea of the trouble at hand. Retention.—Examination of the urine is also