In the choice of an anesthetic in prostatic cases there are several factors of importance to be considered. The first of these is the kidneys. A large proportion of all cases of prostatic hypertrophy are associated with so much back pressure that definite impairment of the kidney function is present. Fortunately, under drainage, generally with a simple urethral catheter, the function rapidly improves and the operation under almost any general anesthetic is fairly free from danger; but there are many cases in which, with the best preoperative care, the kidney is far from normal when operation must be carried out. In such cases ether anesthesia is considered dangerous, nitrous oxide less so, and perhaps ethylene the least of general anesthetics, but in all such cases it would be preferable to operate under some other anesthesia than general. Cardiovascular conditions also occur in a very large percentage of cases. In our
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