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February 27, 1978

Operative Surgery: Fundamental International Techniques; Urology

Author Affiliations

Cambridge, Mass

JAMA. 1978;239(9):865-866. doi:10.1001/jama.1978.03280360061027

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This is a rather complete atlas for all students and practitioners of urology, but in his introduction the editor clearly admits that many alternative procedures have been omitted due to limitation of size.

For the urologist practicing in America, only a few procedures of practical importance are lacking. Percutaneous nephrostomy using fluoroscopy or ultrasound can be extremely useful in alleviating obstruction without major surgery, especially in debilitated and critically ill patients. In the management of carcinoma of the prostate, little mention is made of bilateral pelvic lymphadenectomy with or without125I implantation as proposed by Whitmore. In the United States and Canada, more and more patients with stage B and C carcinoma of the prostate are being treated with radiation therapy, making staging lymphadenectomy important. Perhaps the omission of the description of the radical perineal prostatectomy bespeaks this trend in the management of prostatic carcinoma. The most commonly performed