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Article
August 26, 1893

THE ESTABLISHMENT AND MAINTENANCE OF AN ARTIFICIAL URETHRA ABOVE THE SYMPHYSIS PUBIS IN CHRONIC PROSTATIC OBSTRUCTION.Read in the Section of Surgery aud Anatomy, at the Forty-fourth Annual Meeting of the American Medical Association.

Author Affiliations

MILWAUKEE. Professor of Surgery of the Genito-urinary System in the Post-Graduate School of Medicine, Chicago, 111.

JAMA. 1893;XXI(9):305-307. doi:10.1001/jama.1893.02420610017002d

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Abstract

I propose to call your attention to an operation for the relief of an extremely distressing and painful form of disease in men, the relief of which was very inadequate until of very recent date. I refer to the establishment of a urethra above the pubic bone in chronic prostatic obstruction.

From a series of over two hundred post-mortems prosecuted by Sir Henry Thompson on male patients over 55 years of age, to determine the percentage of those who were affected with prostatic enlargement it was found that about one in three had more or less enlargement, and only about one in seven of those exhibited symptoms of the disease during life. Consequently we may expect about one man in twenty who is approaching 60 years of age to consult us for this difficulty.

As a rule, enlargement of the prostate takes place in all directions, with occasionally the development

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