Enlargement of the prostate : its treatment and radical cure / by C. Mansell Moullin.

  • Moullin, Charles William Mansell, 1851-1940.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Enlargement of the prostate : its treatment and radical cure / by C. Mansell Moullin. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    which its sheath is continuous. In front, at a distance of about half-an-inch, is the posterior margin of the symphysis pubis. On cither side are the levatores prostatce muscles, descending from the pubes, and, as it were, suspending the gland between them. Behind, entering the depression in the middle of the upper border, are the two ejaculatory ducts. These, with the vesiculae seminales and the vasa deferenlia, are held against the under surface of the bladder by a thin sheet of fascia, which, lower down, becomes con- tinuous with the capsule of the gland. This sheet of fascia is all that separates the upper part of the prostate from the middle third of the rectum. Towards the apex of the gland the interval grows wider, the urethra inclining forwards, the rectum backwards. The sheath that encloses the prostate is derived from the recto- vesical portion of the pelvic fascia. It is attached above to the posterior surface of the pubes and the sides of the pelvis. From this it descends to the groove that marks the junction of the bladder and prostate, except behind, where it doss not reach lower than the posterior extremities of the vesiculse seminales. At this level it divides into two. One layer passes upwards, and is lost in the wall of the bladder. This forms the floor of the pelvis, and shuts out from the proper pelvic cavity the prostate, the under surface of the base of the bladder, and the vesiculas seminales. The other passes downwards, forms the sheath of the prostate, binds the vesi- culse seminales to the bladder, and is lost in the deep layer of the triangular ligament of the urethra. The prostatic plexus lies in the groove where the two layers diverge, and separates the descending one from the capsule of the gland. Two parts of this fascia are distinguished from the rest as the anterior and lateral true ligaments of the bladder. They pass down- wards and inwards from the posterior surface of the pubes and the sides of the pelvis respectively, and are somewhat stronger than the rest. Between the two anterior ones in the middle line is a narrow depression, formed by the fascia sinking down, to be attached to the capsule of the gland near its apex, at its junction with the triangular ligament. The urethra passes from above downwards, between the anterior margins of the lateral lobes. As it descends it curves forwards, so that the posterior surface of the gland is slightly longer than the anterior. The relative thickness of the tissues in front and behind the canal varies a good deal in different subjects. It appears to
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