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progress of 2Vlcdical Science. viagra tablet pune Division of the Vas Deferens in Prostatic Hyper- trophy. Dr. Reginald Harrison recently delivered an address on this subject,' from which we gather the following: In 1893 Dr. YV. White, of Philadelphia, suggested that castration might be tried as a remedy for troubles connected with certain forms of prostatic hvpertrophv, with the result that this practice has now been adopted in numerous instances with some amount of success. It is interesting to notice, now that atten- tion has been called to the possibility of its practical application, how often the fact has been stated in surgical literature that interference with portions of the gentito-urinary tract is followed by atrophy of the prostate. If we viagra aed price turn to records of injuries to the vas deferens it will be found that Birkett, Hilton, and others have shown that atrophy of the testis is a se- quence in the human male of rupture or section of this duct. If this is so, why should we not take advan- tage of it, and in this way induce prostatic atrophy without resorting to castration ? It is probable that in a certain number of prostatic cases the amount of shrinkage of the gland necessary to make all the differ- ence between a life of misery and one of comfort is comparatively slight. This viagra aed price is a conclusion which may fairly be drawn from the observation that, although prostatic enlargement is common, only a small number of males thus affected can be said to suffer from it. Dr. Harrison's method is described by him as follows: After trying several plans for dividing the vas after passing through the external abdominal ring, subcutaneous and otherwise, the following ap- pears to be the best: The scrotum having been shaved and prepared antiseptically, the tube is carefully sought for as it enters the scrotum. It being held subcutaneously viagra aed price in position between the finger and the thumb, a vertical incision through the skin is made over it to the extent of an inch or so. The spermatic cord having been recognized, the vas is separated from the other constituents viagra tablet pune by the finger and forceps by merely carefully tearing away the connective tissue about it. In doing this care should be taken not to drag on the testicle too much, but to support it while viagra aed price a loop of vas is detached, so that the connections of the former may not be loosened. The vas should be well cleared of all other textures, and then a loop of it is gently drawn out through the wound with a blunt hook. The loop is then encircled below the hook with a silk ligature not too thick, which is tightly knotted. The ligature is cut off short, the extrann as portion of vas removed by scissors, and the pedicle dropped into its place. The wound is closed with a catgut suture or two, and fitted with a viagra tablet pune small drainage tube. There is no bleeding worth mentioning if the operation is done in this way, and the wound usually heals in the course of a few days. He has reasons for believing that in a short time the vas, thus treated, becomes converted into a fibrous cord, which eventu- ally, with the corresponding testicle, undergoes atrophy. If the vas, before the ligature is applied, is carefully cleared of other tissues, pain is not usually complained of, as is often the case when the whole thickness of the spermatic cord is included in a ligature, as is sometimes done in cases of castration. Both vasa may be so treated simultaneously, but he prefers doing one 1 " Clinical Remarks on Division of the Vas Deferens in Cases of Obstructive Prostatic Hypertrophy," by Reginald Harrison. F.R.C.S. Eng. Reprinted from The Lancet, February 22, 1896. May 16, 1896] MEDICAL RECORD. 69 / at a time. In the opinion he has formed as to the utility and propriety of dividing the vas in cases com- ing under this category he does not stand alone, ami unless mistaken he anticipates that further evidence in support of it will soon be forthcoming. The litera- ture, however, will already be found to confirm some of the conclusions he has viagra aed price thus ventured to formulate. Too much importance viagra tablet pune must not be attached to some experiments on viagra aed price animals which have been made in connection with this subject. The moral influence of certain conditions and the material changes they give rise to, in their relation to the genital function in the human male, find no counterpart in the animal species. In offering these remarks on this aspect of a most im- portant subject, he does so in the belief that the case as viagra tablet pune he has endeavored to put it, though not fully proven, has been sufficiently made out by direct and indirect investigation as to warrant a fair trial being made of it before we adopt castration as a remedy for prostatic hypertrophy and viagra tablet pune certain of the troubles arising out of it. In a paper read since these remarks were made Professor Guyon, of Paris, has added important testi- mony in favor of this proceeding. He publishes the particulars of two cases of bilateral division of viagra aed price the vasa in men seventy years of age or thereabout, in which the benefits obtained were prompt and con- spicuous, and in correspondence with effects already noted. Lung Surgery Dr. Pean, of Paris, has made a special study of pulmonary surgery and announces the viagra tablet pune following conclusions: 1. The surgery of the lung, like that of the viscera, has of late viagra tablet pune made much progress, thanks to the perfection of our anatomical knowledge and to the viagra aed price improvement in operative pro- cedures for the arrest of hemorrhage.