The Bradshaw lecture on vesical stone and prostatic disorders : delivered before the Royal College of Surgeons of England on Dec. 9, 1896 / by Reginald Harrison.

  • Harrison, Reginald, 1837-1908.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: The Bradshaw lecture on vesical stone and prostatic disorders : delivered before the Royal College of Surgeons of England on Dec. 9, 1896 / by Reginald Harrison. 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.

    15/22 (page 13)
    Sed minute Scbfai spo4 anneared to die from exhaustion, the result ot pro 8 , :rSn. After death his Mr. F. Paul, who reported it to be tLt of carcinoma. There was no ev j remember this was other than the primary Mr Paul remarking to me ^ y,]!’ i^ave been precise nature of the disease ^ ^ for as there nnaiscovered had It not beenc^^ bat little to distinguish Tbe VpfS ?o» o,'‘dm«fb,p2,tVopb,. I b^ With many instances of this kind in able occasionally to confirm the diagnoss^ pathologic examination. OlinicaUy this f °>^P j\°j/ow carcinomata may be distinguished by the tollowi g tions. In the first place they are gf who are rather under what I would speak of -.r „ age-that is to say. they chiefly occur in inales of fifty^five or thereabouts. When felt from the rectum the g'ana is found unusually hard, bossy, and rather ^sensitive to touch They seldom bleed much or ulcerate unless Sged b7a. cbtbeter or .obbd Though tbe ^rf_ the former is generally required “^o^e ^ . efjjom stantlv before the case terminates there is seiaom either^ sudden or complete retention, ^Ts^tL of the bladder. Keflected pain in various Pa^s such f the thighs, nates, and rectum Death addition to much painful irritability of the bladder, is usually caused by blood vitiation exhaustion, wit^ well marLd signs of what we used to speak of ^ J®^be I have referred to fibrous and carcinomatous P™^at®s for th Durnose of remarking that for such growths as these neither SKob nor va,oof.m,i. at all libel, to be ol an, Together they represent a by no means of this part, and their treatment must be conducted on the principle's which are applicable generally to growths L inLrior and neck of the bladder. In going over the re. corded cases of castration and vasectomy it is not or“ool’}, in reading between the lines, to see that amonpt tPem pe included instances of the two conditions to which I Irave just referred and where experience shows that no good was lixmy to accrue from what was done. These we must enpavour to exclude and then I think we shall find that division of the vasa deferentia will be found an eflicient and fmrly reliable means for relieving advanced forms of prostpic hypertrophy without incurring the additional iisp, np to mention other drawbacks, which naturally attend such an operation as castration. I must not here forget to mention that I have in three instances employed division ot the vasa in recurring stone with cystitis due to much enlargement ot the prostate with great and I believe permanent advantage. Apart from the non-recurrence of the stone, after fair