Dr. S. E. J., aged 43, came for consultation, complaining of difficulty of urination. Ten days before, he had had retention of urine, necessitating catheterization. Following this first catheterization he was able to void but could not empty his bladder satisfactorily and had therefore catheterized himself several times daily. The urine was amber in color, slightly cloudy, and acid; the specific gravity was 1.026, urea 2 per cent; tests for albumin and for sugar gave negative results; pus and blood cells were present in moderate degree.
On examination the patient was found to have 3 ounces of residual urine. No obstruction to the passage of a catheter was encountered. The prostate was swollen, tense and tender.
He was directed to pass the catheter as often as necessary for comfort and to use a hot rectal douche twice a day. After the acute tenderness of the prostate subsided, massage was given,