Digitate Tumours of the Prostate, Prostatectomy

Sir,?Lassu Sheikh of Punch, Mohammedan, 55 aet, was admitted on July 29th, 1914, to the Kashmir Mission Hospital complaining of difficulty in passing water. On examination the prostate was found to be enlarged and a stone sounded in the bladder. On July 30th he was given chloroform; by rectal examination the size of the prostate was ascertained, and it was found that the stone which had rested anteriorly to the projection of the prostrate then lay behind the projection of the prostate. On using the lithotrite it was found to be impossible to grasp the stone without grasping soft parts. There was free haemorrhage and.for this reason the operation of lateral lithotomy was performed and a wedge shaped stone weighing 1 oz. 5 grs. was removed. The incision passed between the lobes of the prostate. The left lobe was removed with my index finger and then the right. The projections into the bladder resembled two fingers in shape and they weighed 1^ oz. The haemorrhage was considerable.