Excerpt from Journal of Cutaneous and Genito-Urinary Diseases, Vol. 20: July, 1902

Specimen No. 4 shows an exaggerated degree of median hyper trophy, in a tumor - like mass, much larger than in the second instance. It shows the division of the urethra into two channels as the prostatic urethra mounts the bar towards the bladder cavity. In such a condition a metal catheter would be de¿ected to one side or the other, if it passed in, or, if of ordinary curve, it would be stopped short by impinging against the face of the tumor. In this case there is no bar formation, the hypertrophy and the obstruction are both essentially median, the lateral lobes being only moderately enlarged and not in such a way as to encroach on the outlet.

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