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January 22, 1938

SOME PROBLEMS IN SURGICAL TREATMENT OF THE PROSTATE

Author Affiliations

BALTIMORE

From the James Buchanan Brady Urological Institute, Johns Hopkins Hospital.

JAMA. 1938;110(4):280-283. doi:10.1001/jama.1938.02790040034009
Abstract

It is now several years since the wave of enthusiasm for transurethral operations on the obstructive prostate reached its climax, and the time seems ripe to take stock and see what has been accomplished. Perhaps a recital of some of my own experiences may be in order.

Beginning a good many years ago with my urethroscopic prostatic excisor, or punch, and finding it very satisfactory for bars, contractures and small lobes, for which it was first recommended, I was tempted to use the instrument for larger and larger prostatic obstructions but eventually came to the conclusion that these had best be attacked by a clean enucleating operation. With the promulgation of electrical modifications, the use of transurethral methods spread rapidly, and the technic was proclaimed as the final solution of the prostatic problem.

But is such the case? Is transurethral resection as safe and as radically curative as open operation?

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