A short treatise on the section of the prostate gland in lithotomy; with an explanation of a safe and easy method of conducting the operation on the principles of Cheselden / By C. Aston Key.

  • Key, C. Aston (Charles Aston), 1793-1849.
Date:
1824
Catalogue details

Licence: Public Domain Mark

Credit: A short treatise on the section of the prostate gland in lithotomy; with an explanation of a safe and easy method of conducting the operation on the principles of Cheselden / By C. Aston Key. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    of the bladder that lies upon that gland, and then he cuts the outside of one half of it obliquely according to the direction and whole length of the urethra, that runs within it, and finishes his internal incision by dividing the muscular portion of the urethra on the convex part of his staff. When he began to practice this method he cut the very same parts the contrary way, &c.”* Deschamps, noticing the above description of Cheselden’s operation, speaks clearly as to the prostate being cut low down : “ II dirige son bistourie le long de la sonde vers la partie inferieure et laterale de la vessie derriere la glande prostate, et au dess us des vesicules seminal es.”f With regard to the edge of the knife, Deschamps says that the rectum runs no risk of being wounded in the division of the pros- tate : “ le tranchant de l’instrument etant dirige en haut et s’eloignant par consequent de l’intestin/’f Cheselden, in his last edition of his anatomy, thus describes his incision. “ I first make as long an incision as I can, beginning near the place where the old operation ends, and cutting down between the musculus accelerator urinoe and * Douglas’s Appendix—page 12. + Deschamps—page 106. | Page 107.