There are so many different methods of treating prostatics that one is forced to the conclusion that the subject is in an evolutionary stage. I venture the assertion that every surgeon of experience has often been disappointed with many of the procedures he had employed. It is true that every case is more or less a special one, having individual features and combined phenomena of its own, but when we consider the radical treatment, that is, total prostatectomy, it should not take us very long to establish one method as the safest and best. The era of giving permanent relief to over 25 per cent. of the male population in the last third of life began in 1887, with first, Belfield of Chicago, and then McGill of Leeds, England. They did a partial and then as they improved their technique, complete suprapubic extirpation of the prostate gland. At the present
FERGUSON AH. MEDIAN PERINEAL PROSTATECTOMY: TOTAL REMOVAL OF THE PROSTATE GLAND, SIX CASES. JAMA. 1902;XXXVIII(8):501–506. doi:10.1001/jama.1902.62480080011001b
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