There is no clinical problem concerning which one may find a wider divergence of opinion among competent urologic surgeons at present than that of the applicability of transurethral resection to various types of obstructing prostates. At one extreme are those who assert that transurethral methods are properly applied only for sclerosis of the bladder neck (median bar) and prostatic carcinoma. At the other end of the gamut is a group, many of whose members are fortified by abundant experience, who claim to be able to resect successfully any prostatic obstruction that will permit passage of the resectoscope into the bladder.
Whatever may be the ultimate outcome of this divergence of opinion, the question at issue has lent practical value to a consideration of the actual size attained by the hyperplastic prostate. The early writers on the subject of transurethral prostatic resection were captivated with the idea that the removal of
MIDDLETON RP. HOW LARGE IS THE HYPERPLASTIC PROSTATE? REPORT OF THE LARGEST HYPERTROPHIED PROSTATE EVER SURGICALLY REMOVED. JAMA. 1937;108(23):1967–1968. doi:10.1001/jama.1937.02780230027008
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