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February 12, 1938


Author Affiliations

Linköping, Sweden

From the surgical department of the Central Provincial Hospital, N. V. Åkerblom, M.D., director.

JAMA. 1938;110(7):509. doi:10.1001/jama.1938.62790070004008b

Recently Middleton1 described a case of hypertrophied prostate of enormous weight; namely, 557 Gm. He considered this the largest one ever surgically removed. It may be of interest to readers of The Journal to hear about another man with this condition operated on in the Central Provincial Hospital in 1918. The enucleated prostate weighed 705 Gm. and is the largest hypertrophied prostate ever surgically removed as well as the largest one on record in the world's literature.2

L. A. L., a farmer, aged 80, admitted to the hospital Sept. 1, 1918, during the preceding twenty years had suffered from various urinary troubles and from time to time from acute urinary retention. During the past ten years he had catheterized himself three times a day, and occasionally slight bleeding resulted. The day before admission severe bleeding and dysuria had occurred.

At the time of admission to the hospital the

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