300 Anatomy Applied to Medicine and Surgery. 



Prostatic Inflammation. Should pus form, it might 

 burrow up, towards the pelvis, or backwards, and rupture 

 into the rectum, but, in all probability, it will open into the 

 urethra. When the presence of pus is established, an in- 

 cision should be made in the middle line, about half an 

 inch in front of the anus, while the finger in the rectum 

 protects the bowel and directs the knife towards the pros- 

 tate gland. 



Enlargement of the Prostate. Should prostatectomy 

 be performed for this condition, it is best done through a 

 suprapubic incision, as in the operation of suprapubic 

 lithotomy. White, of Philadelphia, first suggested castra- 

 tion as a means to induce atrophy of the prostate when 

 this gland is hypertrophied. 



