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November 16, 1918


JAMA. 1918;71(20):1636-1642. doi:10.1001/jama.1918.02600460016005

The seriousness of prostatic obstruction in old men has long been recognized by the profession. The education of the public with regard to the neglect of this condition has made rapid strides during recent years. If the insidious growth of the obstruction interferes with the bladder outlet, it causes residual urine. The onset is so very gradual that the symptoms vary. According to Kidd,1 the onset may be divided into three clinical types. He sets these forth in such a concise form that I wish to use his classification:

1. The Irritable Bladder Type.  —A man between 50 and 60, who develops an irritability of the bladder, finds it necessary to get up at night. This frequency increases until he notices that he is also voiding frequently during the day time. He finds that when the call for urination comes it is necessary to find a convenient place quickly.