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December 20, 1924

NOTES ON A SERIES OF ONE HUNDRED AND TWENTY-ONE CONSECUTIVE PROSTATECTOMIES

JAMA. 1924;83(25):1999-2004. doi:10.1001/jama.1924.02660250037009
Abstract

We are all agreed today that, given a case with prostatic obstruction with a large residual urine, with or without actually acute retention, the first thing to do is to establish free drainage as quickly as possible. This should be done even though the patient has a good kidney function. An immediate prostatectomy should be reserved for the patient who not only has good kidney function, but also has a small residual urine, from 4 to 6 ounces (120 to 180 c.c.).

Whether this drainage be by means of a cystostomy or intermittent catheterization or by indwelling catheter rests with the surgeon. If the prostatectomy is to be a suprapubic one, then there is no doubt that the best method is by a suprapubic tube. This gives a chance during the period of drainage for a sinus to become walled off which, in many cases, need not be much enlarged

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