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March 29, 1902


JAMA. 1902;XXXVIII(13):816-824. doi:10.1001/jama.1902.62480130014001e

PROSTATECTOMY.  It is very gratifying to note the advances that have been made by the medical profession in the operative treatment of prostatic enlargement in very recent times. Even so modern a man as Sir Henry Thompson said that he did not believe it was possible to operate on a case of enlarged prostate and have a result that would permit him to discontinue his catheter and still be able to empty his bladder and retain his urine; now we know that these results are of daily occurrence.The indications for prostatectomy are: 1, prostatic enlargement to a pathologic degree, i. e., sufficient to prevent urination or cause large residual retention; 2. painful and frequent urination; 3, cure for catheter life; 4, cure for secondary cystitis; 5, for the relief of pressure on the rectum; 6, it should be the operation of election where the patient is in condition to