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Article
August 20, 1898

A SURGICAL TREATMENT FOR HYPERTROPHIED PROSTATE AND HERNIA IN OLD MEN, WITH A REPORT OF TWENTY-EIGHT CASES.

JAMA. 1898;XXXI(8):395-400. doi:10.1001/jama.1898.92450080021001e
Abstract

No class of patients is more worthy of the sympathy and careful attention of the physician than the unhappy victims of prostatic hypertrophy. To this malady is often added hernia, enterocele, with adhesions of the intestines, hernial sac and tunicæ and not infrequently there is chronic hydrocele of the cord and multilocular cystic degeneration of the testicle. Already declining from the general organic dissolution of senility, these complications make them a class of patients difficult and unsatisfactory to treat. The constant appeals from this class of sufferers for relief from vesical pain and burning, rectal and vesical tenesmus, frequent and painful urination, retention of urine and its concomitant misery, has demanded of me more than passing notice.

The diseases of the prostate and bladder and their adnexa have been studied by many scientific men, and their researches have done much to mitigate the suffering of this class of patients. That

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