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December 13, 1941


JAMA. 1941;117(24):2030-2035. doi:10.1001/jama.1941.02820500012003

Surgical diseases of the prostate gland present so many variations that no one surgical procedure will obtain the best results in all cases. A thorough understanding of the site of origin and progression of the disease permits one to select the proper surgical approach in each instance. So commonly do surgeons refer to the various types of prostatic operations as "removal of the prostate" that many forget that the prostate is rarely actually removed. In many instances only the hyperplastic tissue, or so-called adenoma, is removed; the functioning prostatic glands or their remnants remain firmly attached to the surrounding fascia and together are referred to as the false capsule of the prostate. Often removal of this hyperplastic tissue is all that is required to establish adequate drainage of the bladder, and the remaining compressed, uninvolved prostatic tissue may reasonably be left behind. It is not uncommon, however, for these remaining