Tuberculosis of the Prostate. 2']<) 



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

 sorbed toxins or sepsis. 



For the human subject, I^ydston strongly advocates removal of 

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

 jects, with healthy bladder and kidneys. The difSculty of such 

 an operation in the dog is greatly enhanced by 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 of this, in cases complicated 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 piper- 

 azin 15 grs., or beta naphthol, guaicol, or phenol have been 

 used in man. As injections mercuric chloride i : 20,000 ; boric 

 acid, saturated solution; or carbolic acid .5 : 100 (I^ydston) may 

 be used warm several times a day. 



TUBERCUI.OSIS 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 unusually 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. 



