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Article
January 23, 1926

PERINEAL PROSTATECTOMY: TWENTY-FIVE YEARS' EXPERIENCE WITH THE AUTHOR'S TECHNIC

JAMA. 1926;86(4):244-246. doi:10.1001/jama.1926.02670300006002
Abstract

In 1900, I described a method of performing prostatectomy which I had developed at that time. As twenty-five years have elapsed, it seems opportune to review the subject.

The changes from the original method are to be found in: (1) the examination and preoperative care of the patient; (2) the method of anesthesia; (3) the details of the operative technic, and (4) the postoperative treatment of the patient.

EXAMINATION AND PREPARATION OF THE PATIENT  My present procedure in connection with examining and preparing the patient can be summed up as follows:

  1. A history is taken carefully and a general examination of the patient made.

  2. A rectal examination is made to determine whether or not the patient has an enlarged prostate and whether or not the prostate appears to be cancerous.

  3. A catheter is introduced gently to determine whether or not the patient has residual urine, and if so how much.

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