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October 18, 1902


Author Affiliations

Professor of Surgery Northwestern University Medical School; Surgeon to Mercy Hospital and Michael Reese Hospital. CHICAGO.

JAMA. 1902;XXXIX(16):955-959. doi:10.1001/jama.1902.52480420007001b

The operation here described is based on principles somewhat at variance with those now current, and I beg your indulgence if I speak dogmatically while trying to make its features plain. I have to offer as an excuse the good results I have attained and the rather chaotic condition of the whole subject in the literature.

STRUCTURES CONTRIBUTORY TO THE OBSTRUCTION.  We are not accustomed to consider the male pelvic outlet as of surgical importance, but we must now revise our ideas of pathogenesis and treatment of prostatic obstruction if my theories are true, and concede that the bones and ligaments also of the pelvis have much to do with compressing the urethra in prostatics. I contend that unless there is crowding together of the walls of the prostate by outside pressure, enlargement alone will not cause stoppage. That this crowding does take place I will endeavor to show. Were

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