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August 1927


Arch Surg. 1927;15(2):298-316. doi:10.1001/archsurg.1927.01130200146012


Prostatectomy.  —Tengwall42 performs prostatectomy according to Freyer's technic. The retention catheter is used for bladder drainage. In his first 150 cases no packs were used. One patient died from hemorrhage, and seven had severe postoperative hemorrhage which necessitated reopening the bladder. In the last 100 cases, packs were placed in the prostatic bed, and there was no hemorrhage. The packs were removed in forty-eight hours, and the bladder drained in three or four days. A urethral retention catheter was left in place until the operative wound healed, so that there would be no strain on the wound. In the first fifty cases Tengwall used spinal anesthesia with 3 per cent tropacocain. One patient died from shock. In 140 cases local anesthesia was used to open the bladder, after which the prostatic bed of the bladder was infiltrated with procaine hydrochloride, according to Legueu. In 140 cases in which