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To the Editor:—
When I stated that Dr. Keyes' mortality was 40 per cent, I was in error, and I apologize. I should have said his clinic, as he states that "in a hospital in which a series of patients operated upon under my eye by 18 different surgeons, there were 175 patients, chiefly operated upon by two-stage prostatectomy and 85 (49 per cent) did not leave the hospital alive. Among these 26 were not operated upon, and 12 died. Ninety-eight were drained suprapubically and 33 died. One hundred and ten prostates were removed with 40 deaths." Again, in his textbook, he states, "In free city hospitals... the total mortality approaches 50 per cent." In another paper he says, "At Bellevue Hospital... the mortality is 49 per cent."Dr. Keyes says, "Dr. Young mentions his surprising record of 198 successive perineal prostatectomies without a death. Other operators... have usually stopped
Young HH. A DEFENSE OF SUPRAPUBIC PROSTATECTOMY-Reply. JAMA. 1934;103(14):1086-1088. doi:10.1001/jama.1934.02750400053027