Chronic Prostatitis. 271 



mixed. When the suffering is severe it may be met by camphor, 

 camphor bromide, ergot, hamamelis, gelsemium or potassium 

 bromide, given by the mouth or rectum. With violent strangury, 

 opium, belladonna or hyoscyamus may be used. Some cases may 

 be relieved by the use of enemata of cold water or pieces of ice 

 in the rectum. In retention of urine, careful catheterization is 

 imperative, the hand or finger in the rectum being employed to 

 guide the point of the catheter under the prostate. 



In case of abscess an opening by the side of the anus is prefer- 

 able to one by the urinary passages or rectum, and will obviate the 

 danger of rupture into the peritoneum. A pasty or fluctuating 

 swelling in the perineum should be incised until the pus flows. 

 A tense elastic fluctuating prostate may be transfixed by a can- 

 nula and trochar from the side of the anus, guided by the hand 

 or finger in the rectum. When the pus has been evacuated 

 a drainage tube may be inserted through the cannula and 

 left in place when the latter is removed so as to allow 

 free drainage at all times and frequent antiseptic injections. 

 Punctures and even incisions have been made from the rectum, 

 but they make badly infected wounds, and a rupture into the 

 urethra, determines infection on that side, without any possibility 

 of any effective antiseptic injection or perfect drainage. As in- 

 jections may be used permanganate of potash i : loooo, or boric 

 acid, a saturated solution. Poisonous agents must be eschewed 

 or used with the greatest circumspection. 



CHRONIC PROSTATITIS. 



Causes. Follows acute. Same causes less potent. Lesions : as in acute, 

 or sclerosis, and abscess. Symptoms : delayed urination, last glairy or 

 purulent, constipation, defecation followed by urethral discharge, little 

 genital ardor, rectal palpation, tenderness of prostate to hand or catheter, 

 atony of hind limbs. Treatment : open air life, idle, milk or succulent diet, 

 saline laxatives or enemata, avoid generative excitement, castrate, check 

 masturbation, iodine, camphor, antiseptic irrigations. 



Causes. The acute disease often subsides leaving an indolent 

 chronic inflammation of the organ. Apart from this, the causes 



