This section is from the book "The Home Hand-Book of Domestic Hygiene and Rational Medicine. Volume 2.", by J. H. Kellogg, M.D.. Also available from Amazon: The Home Hand-Book of Domestic Hygiene and Rational Medicine, Volume 2.
Hard lump to be felt in the fork of the thighs, or rectum, at the base of the bladder, which is sensitive to pressure; slow, difficult, and painful urination; in many cases, symptoms of bladder disease.
The body situated at the base of the bladder, the so-called prostate gland, is now well understood to be not a gland at all, but a mass of muscular fibres which surround the seminal ducts and by contraction expel the seminal fluid. When often stimulated to contraction by excessive sexual indulgence or by self-abuse, hypertrophy, or overgrowth of the muscular body, takes place. Enlargement may also result from inflammation. It is a very common disease in old men, to whom it occasions very great inconvenience by producing painful and difficult urination, and in some cases actual retention, making the use of the catheter necessary. It is a difficulty which is often neglected, very much to the detriment of the patient.
Free water-drinking, careful avoidance of alcoholic liquors, strong tea and coffee, tobacco, the use of condiments and stimulating foods of all kinds, and a diet consisting chiefly of fruits and grains, are the principal hygienic measures to be adopted in this disease. Hot fomentations applied to the perinaeum daily, together with injections of hot water into the rectum in quantities from a pint to a quart, are the best means for diminishing the hardness and enlargement. The water employed for the injection should be as hot as the patient can bear; and the temperature may be 102° to 106° at first, and increased to 110° if possible; a prolonged hot spray to the perinaeum is still more effective than fomentations. The spray may be employed with hot and cold alternations with good effect. If the trouble is not relieved quite promptly by the simple means suggested, the case should be brought to the attention of a skillful surgeon.