Any operative procedure having as its fundamental precept the removal of a pathologic structure with due regard to its physiology and to the preservation of the related anatomy should find itself within the capabilities of every well trained surgeon.
The division of opinion of surgeons throughout the world as to the choice of method in prostatectomy indicates that except to a brilliant few neither the suprapubic nor the perineal method, with its various modifications, fulfils all requirements. The choice of one method rather than the other because of greater familiarity with the procedure and the constant attempts to vary and improve the technic are proof of a somewhat general dissatisfaction.
It was this dissatisfaction which led Voelcker, after many years' experience with both the suprapubic and the perineal methods and their various modifications, to present before the Berlin Surgical Congress, in 1919, the technic of his ischiorectal prostatectomy, with a
MEHERIN JM. ISCHIORECTAL PROSTATECTOMY. Arch Surg. 1930;20(3):437-446. doi:10.1001/archsurg.1930.01150090084004