Tube^xulosis of the Prostate. 277 



castration in such cases, to obviate any added trouble from ab- 

 sorbed toxins or sepsis. 



For the human subject, Lydston strongly advocates removal of 

 the enlarged prostate by surgical means in strong, vigorous sub- 

 jects, with healthy bladder and kidne^^s. The difficulty of such 

 an operation in tlie dog is greatly enhanced b}' the relatively 

 greater length of the pubio-ischiatic symphysis, and the lessened 

 diameter of the pelvic cavity. Yet with the comparative 

 immunity of the dog from suppuration, and the hopelessness of 

 the case without such radical measure, and with the rigid applica- 

 tion of an antiseptic technic, the operation would appear to be 

 fully justified. It would be contra-indicated in all advanced cases, 

 in which the prostate was the seat of active suppuration with dis- 

 charge into the urethra, in cases complicated by urethritis, cystitis 

 or nephritis, in cases in which there is marked prostration from 

 sepsis or absorbed toxins, and generally in old, worn out and 

 cachectic animals. 



Short (jf this, in cases comj^licated by cystitis, antiseptics by 

 the stomach and as injections into the bladder are desirable. 

 Eucalyptol in doses of ten minims four times a day, or beta 

 naphthol, guaiacol, or phenol have been used in man. As injec- 

 tions mercuric oliloride i : 20,000 ; boric acid, saturated solution ; 

 or carbolic acid -5 : 100 (Lydston) may be used warm several 

 times a da v. 



TUBERCUI.OSLS OF THE PROSTATE. 



This is a common seat of tubercle in generalized tuberculosis 

 in cattle, and may give rise to the same urinary troubles as 

 chronic prostatitis or hypertrophy of the organ. In a remarkable 

 case recorded by Frauenholz the tuberculous prostate of an ox 

 weighed 10^ lbs. and had contracted adhesions to surrounding 

 pelvic organs. Section of the mass showed numerous centres of 

 extensive caseous degeneration. In such cases the generalized 

 tuberculosis is the important fact and the prostatic disease is only 

 an unusuall)' intractable complication. If less generalized, the 

 implication of the testicle or epididymus is strongly suggestive, 

 and examination of the urine may detect the tubercle bacillus, or 

 the tuberculin test may develop the characteristic febrile reaction. 



