An analysis of the value of a given operative procedure must necessarily depend on a consideration of (1) the risk involved and (2) the results obtained. Refinement in diagnosis and perfection of technic are of no avail unless a fair prospect of recovery and improvement may be offered to the patient. In considering the operation of prostatectomy from this point of view, I therefore am interested primarily in the two questions:
What is the immediate mortality?
What is the percentage of satisfactory functional results?
The accompanying tables, summarizing the immediate and late results in a series of 176 consecutive cases of perineal prostatectomy under sacral anesthesia, are presented and briefly discussed with the purpose of attempting an answer to these two questions. All discussion of operative technic and other detail has been purposely omitted.
Those interested in urologic surgery are well aware that present-day methods, with careful attention
DAVIS E. PERINEAL PROSTATECTOMY UNDER SACRAL ANESTHESIA: ONE HUNDRED AND TWENTY-ONE CONSECUTIVE CASES. JAMA. 1928;91(21):1618–1623. doi:10.1001/jama.1928.02700210032010
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