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Article
October 27, 1923

PERINEAL AND SUPRAPUBIC PROSTATECTOMY: CHOICE OF OPERATION IN TYPES OF CASES

Author Affiliations

LOS ANGELES

JAMA. 1923;81(17):1416-1417. doi:10.1001/jama.1923.02650170014005
Abstract

Since Goodfellow, in 1893, performed the first perineal prostatectomy, and Freyer, in 1900, the first subtotal enucleation suprapubically, progress has been rapid and constant, until at present both operations may, in the majority of cases, be completely visualized and, in a large measure, ordinary surgical principles may be observed. One difficulty after another has been surmounted. Preparation, the most important factor of all, is now among urologists universally the great desideratum. Technic and management have been so perfected in both types of approach that, in experienced hands, the incidence of mortality and morbidity should be very low. When Young, in 1903, modified and perfected the Proust operation, he builded so well that the various modifications (Hinman, Geraghty, Dillon, Cecil, as well as modifications suggested by Young himself) have added little of real value to the original procedure.

For more than fifteen years there has been scarcely any urologic meeting at

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