Related article: left in, I believe no harm can come. I don't know what I
shall do when I Clomid Buy come to a case in which the bladder holds
a gallon. I have no hesitation now in attacking any case of
thin-walled bladder with enlarged prostate, which is the
worst kind, that holds a quart, and I feel that I can put
that man in ten days into catheter life with a sterile bladder
if his prostatic urethra be not in a catarrhal condition from
the start ; that is, if the first time the catheter goes in it
brings no blood upon withdrawal. If you produce trau-
matism, if there be stricture, much catarrh, granulations of
the urethra, then it is vastly more difficult to institute cathe-
ter life without starting up a certain amount of catarrhal
cystitis.
Now, perhaps I may turn to the subject I was intending
to speak about, and mention the choice of operation. It
seems to me if a man has come to the point of accepting
prostatectomy, and is to have his prostate taken out, the
choice of operation is exceedingly easy. If he has a prostate
as large as an orange, considerable peripheral enlargement,
it should be taken out, I think, above the bone. If he has
practically no peripheral enlargement or a moderate amount,
and still a considerable amount of deteriorative symptoms
due to the prostate, I think he should be attacked through
the perineum. This point is exceedingly clear in my
mind ; the mortality through the perineum is less. The
method I use has not been Where Can I Get Clomid referred to by Dr. Watson. I
do not know that I have ever described it. I have used it
several Where Can I Get Clomid From years. In attacking the prostate without peripheral
enlargement I prefer to go through the perineum to the
apex of the prostate. With a probe pointed straight knife
in the bladder and one finger in the rectum, I cut down the
neck of Taking Clomid the bladder laterally Where To Get Clomid toward the finger, cutting en-
tirely into, perhaps two-thirds the way through, the pros-
tate. I then wash the rectal finger with permanganate of
potash and oxalic To Buy Clomid acid, and proceed with the rest of the
work. Then putting the finger into the slit one appreciates
what is the matter. It may be a bar, may be a prominent
piece of one side or the other, or it may be a projecting
PROSTATIC HYPERTROPHY. 699
third lobe. If there be a third lobe get it off by making
another cut. Lately I have found another method which
succeeds so well I shall try it in the future. It was a case
of third lobe, Buying Clomid which stuck up into the bladder three-fourths
of an inch. I made the incision, and by a lateral move-
ment Where To Buy Clomid of the finger the whole thing came off with a pro-
jecting tongue of mucous membrane running down along
the floor of the prostate. The whole operation was done
in ten minutes or less. The temperature never went above
100