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August 10, 1940


JAMA. 1940;115(6):475. doi:10.1001/jama.1940.02810320055024

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To the Editor:—  In the June 15 issue of The Journal appears an article by Dr. Richard P. Middleton entitled "A Plea for the Abolition of the Retention Catheter in the Preparation of Patients for Prostatic Surgery." While there can be little disagreement with most of the author's statements and he is to be congratulated on a satisfactory solution to a vexing problem, it seems hardly fair to consign this potentially valuable procedure to desuetude without first raising a voice in its defense. The picture that he draws—"the more or less tender urethra with crusted mucopurulent exudate clinging to the tape which fastens the catheter to the penis, and not infrequent copious oozing of pus around the catheter"—is unfortunately all too common, and it must be admitted that some method of improving such a situation is desirable.That improvement demands complete discarding of the retention catheter in favor of intermittent

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