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January 25, 1913


Author Affiliations

Genito-Urinary Surgeon, Toledo City Hospital TOLEDO, OHIO

JAMA. 1913;60(4):259-262. doi:10.1001/jama.1913.04340040007003

A large prostate may cause little trouble, while a small gland may cause complete and continuous retention. Contraction of the bladder neck at times causes annoying conditions and is often overlooked by practitioners, who advise against any operative procedure because a large gland is not found on examination by rectum. In cases of contraction of the bladder neck, without enlargement of the gland, it is of no avail to remove the prostate. A slit of the median bar, when present, through the urethra, is simple, and, in cases in which drainage is not essential, is to my mind best accomplished by the method under discussion.

I shall relate briefly some of my experiences with the Goldschmidt instruments.

One patient, a man aged 67, had had a perineal prostatectomy performed and was unable to void urine without the use of a catheter. At the Toledo Hospital I incised the obstructing band

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