The earliest attempts to correct urinary obstruction, the result of prostatic hypertrophy by major surgical means, consisted in the transvesical resection of that portion of the hypertrophied gland projecting into the bladder. When only this portion of the gland was causing the obstruction the results were good, but as in most cases of intravesical hypertrophy intra-urethral hypertrophy is associated, the symptoms were frequently not relieved because the intra-urethral obstruction remained.
For this reason the idea developed that partial removal of the prostate gland was not sufficient, and that to accomplish relief the entire organ had to be removed in addition to the portion that was causing the obstruction. This dictum was generally accepted, although it seemed strange to certain observers that a gland weighing from 20 to 30 Gm. had to be completely removed simply because a small part had begun to obstruct so accessible a channel as the prostatic
BUMPUS HC. RESULTS OF PROSTATIC RESECTION OVER A PERIOD OF SEVEN YEARS. JAMA. 1932;99(22):1836–1840. doi:10.1001/jama.1932.02740740020006
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