The primary object of prostatectomy in benign hypertrophy is to remove the obstructing adenomatous gland and to reestablish free urethral drainage with the least shock and the lowest mortality.
Before these operations are started a complete study of the patient with days or weeks of preparation is necessary with functional tests, urographic studies, the cardiac estimations, and getting the gastro-intestinal tract into good functional condition. This phase of prostatectomy, its preparation, is the foundation for the tremendously lower mortality over that of twenty-five years ago.
And with each year have come refinements in surgical technic which have been instrumental in producing better functional results, reducing complications, making convalescence more comfortable and operations safer. In the past five years two advances have been made in suprapubic surgery of the prostate; namely, hemostasis of the prostatic cavity by suture, and closure of the urinary bladder. The surgeons who have made these contributions
PEACOCK AH. SUPRAPUBIC PROSTATECTOMY WITH CLOSURE OF THE BLADDER. JAMA. 1931;97(24):1768-1771. doi:10.1001/jama.1931.02730240018004