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Article
August 27, 1898

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

JAMA. 1898;XXXI(9):465-471. doi:10.1001/jama.1898.92450090031001h

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Abstract

Reginald Harrison, F.R.C.S., reports twelve cases of single vasectomy. Seven derived permanent benefit; in the other five, the results were either negative, or it was impossible to trace the patients subsequently. The two cases he reports are as follows:

Case 1.  —Patient, aged 69; his prostate was very large. Prominent symptom was extreme frequency of micturition. No catheter used. Amount of residual urine about an ounce, but for some time the patient urinated about every hour, day and night. Operation was performed with successful result. When the patient was examined five months later, the right testis was found to be atrophied and soft, the left somewhat larger than before. The right side of the prostate underwent shrinkage and was smaller than the opposite lobe.

Case 2.  —Patient, aged 72; complained of great frequency of micturition of ten years' duration, eventually amounting to about every two hours, day and night, sometimes

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