There is probably no one who will disagree that the development and perfection of transurethral resection of the prostate have made available a valuable method for the treatment of prostatic obstruction. The value of prostatectomy has long been recognized, so long in fact that some have forgotten that it too has its shortcomings. However, prostatectomy has already been through the mill of controversy that resection is now passing through and our experience convinces us that both will survive. Thus there now are two successful methods of handling the prostatic patient so that each case must be carefully studied and individualized and the treatment selected that assures the patient relief in the simplest, safest way. We decry the popular belief that resection is the simplest in all cases but our experience justifies the statement that it is a more conservative operation and has a larger factor of safety than prostatectomy. With
ENGEL WJ, LOWER WE. INDIVIDUALIZING THE PROSTATIC PATIENT IN SELECTION OF TREATMENT. JAMA. 1933;101(18):1361–1364. doi:10.1001/jama.1933.02740430007003
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