In March, 1950, Dr. Howard C. Smith removed the central lobe of my prostate at the Church Home and Hospital. He described it as the largest central lobe he had ever encountered in surgery; the weight was 254 gm. The posterior incision healed by first intention; nevertheless, there was a great amount of leakage from the urethral orifice, evidently due to laxness after removal of the large tumor.
As soon as I was well enough, Mrs. Cullen, a graduate of the Johns Hopkins Hospital School of Nursing, undertook control of the leakage. She selected a waterproof plastic,1 so soft that it could hardly be felt. She made a round bag of this material sufficiently large to contain the genitalia, with a wide hem through which to draw tapes. Two absorbent pads were placed in the bag, the bag was placed around the genitalia, and the tapes were drawn tight
Cullen TS. PLASTIC BAG FOR URETHRAL LEAKAGE CONTROL AFTER PROSTATECTOMY. JAMA. 1952;149(14):1309. doi:10.1001/jama.1952.72930310003010b
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