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December 23, 1899

Enlargement of the Prostate, Its Treatment and Radical Cure.

JAMA. 1899;XXXIII(26):1631. doi:10.1001/jama.1899.02450780063026

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In this second edition of this work, Moullin has omitted the account of many operations noticed in the first edition which he regards as of only historic interest at the present time. Those here discussed are suprapubic prostatectomy, Dittel and Nicoll's perineal operation, Bottini's operation and orchidectomy. He rather favors Belfield's suggestion of a perineal incision in many cases of the suprapubic operation, for exploring the prostatic urethra, and also points out its advantages for drainage. Bottini's operation, he holds, has not met with all the favor it deserves, though its applicability is somewhat limited, and he is inclined to believe that its benefits are not exclusively due to its removal of a passive obstruction. It relieves congestion by destroying the various plexuses and thus does away with the various evils of congestion, causing irritability and vice versa. Orchidectomy in his hands has had good results, and he may be

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