Although the electro-cautery operation was brought out by Bottini as far back as 1876, it was not generally adopted until 1897, when Freudenberg presented to the profession a greatly improved instrument, and followed it up by numerous convincing articles. During the past four years this operation has been performed very extensively, and we are now in a position to stop a moment, look over our results, and discuss the shortcomings of the operation, as well as its merits.
Freudenberg's large collection of operated cases probably shows very accurately the value of the procedure. The statistics are as follows: 752 cases, in which the result was good in 86½ per cent., a failure in 7½ per cent., and the mortality between 4 and 6 per cent.
These figures, if correct, undoubtedly show much better results than can be claimed for any other operative procedure. Castration, while peculiarly effective in a certain
YOUNG HH. A NEW COMBINED ELECTRO-CAUTERY INCISOR FOR THE BOTTINI OPERATION FOR PROSTATIC OBSTRUCTION. JAMA. 1902;XXXVIII(2):86–93. doi:10.1001/jama.1902.62480020016001f
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