An iodine suppository appeared to Mr. Keate8 to be beneficial in
enlarged prostate; and iodide of potassium was administered successfully
in the same disease by Dr. Casey.4 In enlargements of the third
lobe of the prostate Mr. R. A. Stafford,* has recommended it to be
applied, by charging a bougie at its point with iodine, or iodide of potassium,
and then dipping it into melted tallow, so that a coating may
be formed upon it.
The bougie having been passed so as to reach the
desired spot, its point is allowed to rest upon the diseased part, when
the tallow gradually melts, and brings the iodine or iodide of potassium
into contact with it, and, by drawing the bougie gently backwards
and forwards, the necessary friction is produced. He has found it advisable
to be very cautious as to the strength of the application, as
the prostate will not bear a strong preparation either of iodine or
iodide of potassium at first. He has found it necessary to employ
belladonna, opium, hyoscyamus, &c., to quiet irritation and pain.
When these have subsided, he begins carefully, by introducing iodide
of potassium in the proportion of one grain to a dram of unguentum
cetacei, and increasing it as the patient can bear it. He then goes on
with two, three, four, five, and even as far as ten grains or a scruple
to the dram, according as the case requires it. After this, he adds
iodine to it;—half a grain, one, two, three, four, or even more grains
in the same manner.