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August 1, 1953


Author Affiliations

Ann Arbor, Mich.

From the Department of Surgery, University of Michigan Medical School.

JAMA. 1953;152(14):1305-1309. doi:10.1001/jama.1953.03690140013003

During the past decade or two great strides have been taken in reducing the morbidity and mortality associated with the treatment of prostatism. This progress has been attributed to earlier diagnosis, improved surgical techniques, introduction of modern antibiotic and chemotherapeutic agents, liberal use of whole blood, and, more recently, employment of fluid and electrolyte repair solutions. Since metabolic disorders are relatively frequent in the patient with urinary retention, it is apparent that fluid and electrolyte imbalances are common and important problems. In order to treat these disturbances rationally, one must have a knowledge of the role played by the kidney in the pathogenesis of the electrolyte disorders, as well as a comprehension of its clinical and laboratory manifestations. In this discussion an attempt will be made to indicate the causes of the electrolyte disorders, the types of imbalances most frequently encountered, and the rationale for the use of particular repair