Some points in practical surgery suggested by the study of the life and work of John Hunter : being the Hunterian lecture delivered before the Hunterian Society of London, February 26, 1902 / by Reginald Harrison.

  • Harrison, Reginald, 1837-1908.
Date:
1902
Catalogue details

Licence: In copyright

Credit: Some points in practical surgery suggested by the study of the life and work of John Hunter : being the Hunterian lecture delivered before the Hunterian Society of London, February 26, 1902 / by Reginald Harrison. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    certainly require remodelling under the light that pro- statectomy has thrown. There can be no doubt that after this operation persons have completely recovered natural bladder power after its suspension from one to seven years. The possibility of this has been doubted and more than once publicly challenged. A reference to such records as I have mentioned is sufficient, however, to support this statement. Time will not permit me to speak of the relationship which Hunter was the first to point out, that existed between the testes and the prostate, and to offer some remarks on the employment of vasectomy in connection with some forms of urinary disorder. I refer more particularly to the influence this operation may exercise in preventing and arresting prostatic enlargement in a very simple manner. And further, in interrupting the extension of inflammations and other microbic conditions from above downwards and vice versa. These observations have already been placed before the profession and are utilised in practice. I will therefore pass on to notice the application of pros- tatectomy to some cases of enlarged prostate complicated with vesical stone. As matters at present stand, there can be no question that in the case of stone in the bladder happening in young children and adults before the prostatic age is reached, its removal should be effected by crushing, save under exceptional circumstances. When, however, the period is reached when prostatic hypertrophy may be the cause or the complication of a bladder stone, the liability to recurrence after removal by crushing becomes exceed- ingly frequent, and has to be taken into consideration. In earlier days my practice, so far as the operative treatment of stone was concerned, included a considerable number of young male children, and I remember tabulat-