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April 13, 1935

MANAGEMENT OF URETERAL STONE: OPERATION VERSUS EXPECTANCY AND MANIPULATION

Author Affiliations

ST. PAUL
From the Urologic Services, Ancker Hospital and Miller Hospital, St. Paul, and the Department of Urology, University of Minnesota Medical School, Minneapolis.

JAMA. 1935;104(15):1314-1318. doi:10.1001/jama.1935.02760150026006
Abstract

In recent years, ingenious devices and methods have been perfected for the passage or removal of ureteral stones without resort to operation. Properly employed, they have proved of great value and have reflected much credit on urology as a specialty. Among urologists, management of the condition according to this so-called conservative plan has become very popular and quite generally is regarded as the method of choice. There is much evidence that this attitude has carried too far and that the just purpose of such management is becoming subordinate to mere zeal for its use.

Conservatism in surgery deserving the name must have as its object welfare of the patient, and this must not be confused with the surgeon's zeal or prejudice for a particular method. The patient's welfare is a many sided objective in which mortality, morbidity, suffering, duration of disability and economic factors all are concerned.

Management of ureteral

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