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Article
June 11, 1904

PROSTATECTOMY.REPORT OF 51 CASES OPERATED ON FROM MAY 6. 1901. TO FEBRUARY 26, 1904.

JAMA. 1904;XLII(24):1557-1561. doi:10.1001/jama.1904.92490690025003a

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Abstract

>TECHNIC OF PERINEAL OPERATION.  The incision is made in the median line of the perineum to within three-quarters of an inch of the anal orifice. The latter limbs of the incision now diverge from each other in an oblique direction on each side of the anus to the margin of the ramus and backward to the level of the posterior anal corrugations. The scalpel is used to divide the superficial perineal fascia, and the handle is then used to separate the muscle fibers in each lateral incision down to the deep perineal fascia and capsule of the prostate. This leaves the median raphe and the tissues for one-half inch on each side of it intact. By following this plan and always separating the muscular fibers in a backward and outward direction, the rectum is safe from injury.After the completion of the lateral incisions the

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