Sexual impotence / by Victor G. Vecki.

  • Victor G. Vecki von Gyurkovechky
Date:
1915
Catalogue details

Licence: In copyright

Credit: Sexual impotence / by Victor G. Vecki. Source: Wellcome Collection.

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    once in the prostate the way of invasion of important organs is open by the road of the bladder to the ure¬ ters and kidneys, by the road of the seminal duct, to the epididymis. Wolbarst emphasizes with right that the prostate must be examined in every case of gonorrhea before the patient is discharged and that the condition of the prostate must be ascertained from time to time in the course of the disease, and I am sorry that he does not tell us what he does to nip in the bud time and again “what might have insidiously become a chronic intractable gonorrhea.’’ It was my experience that when the gonococcus once has invaded the prostatic gland, there is no more nip¬ ping in the bud to be done by the physician; nature may accomplish it if there is no interference by the patient’s misconduct or too strenuous a treatment. The symptoms are mostly clear in cases of typical acute prostatitis, and then a diagnosis is easily made; one can even go so far as to differentiate between a catarrhalic, a follicular and a parenchymatous form of inflammation, but as a rule the acute stage, the actual invasion of the prostate is not so typical, the symp¬ toms are very light, the patient hardly pays any attention to them, occasionally telling his physician of an increased frequency in urinating, and of a final disagreeable sensation at the end of each micturition; the more or less developed symptoms of tenesmus. And thus it happens that the first invasion of the pros¬ tatic gland is almost regularly overlooked, and so much more regularly because cases of fresh gonorrhea that are properly treated, by carefully observing experts, seldom develop prostatitis.
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