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Related post: the presence of residual urine. These symptoms
are identically the same, and are probably caused by
the same factors Avalide 300 which produce symptoms in pa-
tients Avalide Coupons having insufficient kidney elimination.'' Judd
further states that "it is very important to determine
whether the patient is suffering from renal insuffi-
ciency alone, or whether he is suffering from auto-
intoxication resulting from absorption and inter-
ference with kidney function, which interference i«
caused primarily by mechanical obstruction of the
enlarged prostate."
Few patients suffering from prostatism are free
from one or more grave complications, such as
cystitis, vesical calculus, nephritis, pyelitis, diabetes,
chronic bronchitis, cardiac disease, hernia, hemor-
rhoids, paralysis, etc. However, even in some of the
most complicated cases, where atony or contraction
of the bladder is more or less extreme and where
there is marked secondary involvement, a success-
ful prostatectomy will bring relief, the kidneys will
be benefited, and the bladder will Avalide Coupon nearly Cheap Avalide always re-
gain its function. It further stands to reason that
one should urge an early operation and not defer Avalide Generic
the procedure until secondary changes have taken
place, for a prostatectomy performed before sepsis
is present is of slight gravity compared with one
performed in an emergency or as a last resort.
ANTEOPERATIVE TREATMENT.
The preliminary treatment is of most importance.
It should begin as soon as a careful examination has
been made. The skin, kidneys, and bowels must be
attended to. If possible, the bladder should be cys-
toscoped. Changes in the urine should be combated
vigorously. In the Avalide Mg more severe Order Avalide Online septic cases peri-
neal or suprapubic drainage should be established
as a preliminary measure in the treatment. That i>,
the prostatectomy is divided into Buy Avalide Online two stages, one of
drainage Avalide Online and preparation, and one of enucleation.
With a permanent catheter in the bladder, the pa-
tient is placed in the same condition, so far as
emptying the bladder is concerned, as he will be
after the prostate is removed. By relieving the sec-
ondary symptoms first, the patient will be enabled to
eat, drink, sleep, and improve in condition. He
should be encouraged to take large quantities of
water for several days in order to fill the circula-
tion and to stimulate the kidneys into marked activ-
ity. During this period the specific gravity will
change from 1.020 or more to i.oio or less within
a few days. One should not operate until this re-
action has taken place and the specific gravity has
risen. This preparation may take one or more
weeks.
CHOICE OF OPERATION.
In a study of the details of the suprapubic and
perineal operations, and taking into consideration
the tissues involved in the Purchase Avalide Online dissection, and the im-
mediate and ultimate results to be obtained, one at
once concludes that there are many points of ad-
vantage as well as some disadvantages in either,
procedure. It seems to me that one should delib-
erately weigh the evidence presented, and, keeping
in mind the element of safety, choose the operation
that will promise the most Generic For Avalide favorable result in the
individual case.
Reasoning in this way, one would say therefore
that the Purchase Avalide operator should be as familiar with both
the infrapubic and suprapubic methods of prostatec-
tomy as with any other two methods of operating
for one condition, and make his selection of route
accordingly. Avalide Price The Generic Avalide relative value of the statistics of
the results of operators Avalide Recall practising one method or
the other exclusiveh' should have no bearing or
weight in the selection of the method of procedure.
One must take for granted, that although this op-
eration is comparable to none other in surgery
owing to the advanced age to which it is mainly
confined, yet if the Avalide Tablets cases are in the least selected,
the mortality must be very small in the hands of an
experienced operator. Hence a summary of cases
from one clinic showing a slightly less mortality-
than that of another is of little Avalide 150 practical value be-
cause of inequalities in potentiality in individuals.
The statistics of the operations done under favor-
able condition are invariably good. Freyer (5), in
his 1,000 cases, reports fifty-five Avalide Generic Name deaths or 5.5 per
cent, mortality. The cause of death in twenty-four
of these cases was uremia due to chronic nephritis.
Freyer did not select his cases. Buy Avalide Had he done so, to Order Avalide
use his own words, "selection would have con-
demned a large proportion of them (1,000 cases)
to a painful death after prolonged suft'ering, instead
of the complete restoration to health that ensued in
each case of recovery after operation."

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