The surgical anatomy of the operation of suprapubic prostatectomy / by J.W. Thomson Walker.

  • Sir John Thomson-Walker
Date:
1905
Catalogue details

Licence: In copyright

Credit: The surgical anatomy of the operation of suprapubic prostatectomy / by J.W. Thomson Walker. 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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    SUMMARY. 1. The prostate is surrounded by a capsule, which is a part of the stroma, and outside this is a sheath formed by the pelvic fascia. 2. These two structures may be separated by dissection, except at certain parts, but the gland cannot be enucleated in the normal subject. 3. The prostatic plexus of veins is in the form of a Y, with a vertical stem passing up the front of the gland and horizontal arms surrounding its base. The veins lie between the layers of the sheath. 4. In enlargement of the prostate two important changes take place : a change in the relation of the organ to its sheath and a change in relation to the bladder floor. 5. The structures removed at the operation of prostatectomy consist of the enlarged prostate and its capsule. 6. The walls of the space left after removal of these struc- tures are formed by the sheath of pelvic fascia, between the layers of which are the prostatic venous plexus and the seminal vesicles. 7. The operation is a complete prostatectomy.
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