. Studies on hypertrophy and cancer of the prostate. Fig. 11.—Bifid Fig. 12.—Bifid retractor. Side view. the levator ani and covers the membranous urethra and the apex ofthe prostate in the median line.* The special retractor shown in is well adapted for this purpose. The concavity in the middle * The recto-urethralis is a short muscle with rather indefinite margins,which, as its name indicates, joins the rectum with the urethra. It isapparently responsible for the acute anterior flexure of the rectum whichlies so close to the apex of the prostate and membranous urethra and


. Studies on hypertrophy and cancer of the prostate. Fig. 11.—Bifid Fig. 12.—Bifid retractor. Side view. the levator ani and covers the membranous urethra and the apex ofthe prostate in the median line.* The special retractor shown in is well adapted for this purpose. The concavity in the middle * The recto-urethralis is a short muscle with rather indefinite margins,which, as its name indicates, joins the rectum with the urethra. It isapparently responsible for the acute anterior flexure of the rectum whichlies so close to the apex of the prostate and membranous urethra and whichone finds in rectal examinations. In order to reach the membranousurethra and the apex of the prostate, it is necessary to divide this muscle,as shown in Fig. 13. This at once exposes the espace decollable retro-prostatique which has been so well described by Proust, who has shownthat unless this muscle is divided the operator is apt to tear into therectum, which is drawn forward by it. Division of this muscle allows therectum to drop back, and leads at once into the


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906