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December 8, 1923


Author Affiliations

Attending Urologist and Attending Roentgenologist, Respectively, Hebrew Hospital BALTIMORE
From the Urological Clinic of the Hebrew Hospital.

JAMA. 1923;81(23):1931-1937. doi:10.1001/jama.1923.02650230015003

During the last ten years, lithotomy has been written on extensively. Does this indicate that, in the advancement of surgical technic, lithotomy has become the operation of choice, or that litholapaxy is too dangerous a procedure? The advancement in prostatic surgery no doubt eliminates the stone cases that are complicated with a prostatic hypertrophy as these are today handled at the time of prostatectomy. We have always been of the opinion that in an uncomplicated case of vesical calculus lithotrity or litholapaxy is the operation of choice.

OBJECTIONS TO THE PRESENT METHOD  Objections to the present method may be divided into two groups: (1) when the plain lithotrite is used, and (2) when the cystoscopic lithotrite is employed.Under Group 1, the objections are that: (a) The operation is performed blindly. Everything depends on the sense of touch and good fortune. Neither the instrument nor the calculus is under the

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