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Article
August 1932

SUDDEN DECOMPRESSION OF THE CHRONICALLY DISTENDED URINARY BLADDER: A CLINICAL AND PATHOLOGIC STUDY

Author Affiliations

MINNEAPOLIS
From the Department of Surgery, University of Minnesota Medical School.

Arch Surg. 1932;25(2):356-385. doi:10.1001/archsurg.1932.01160200101005
Abstract

The idea that one must not empty the urinary bladder abruptly when it has been the seat of chronic retention of the urine as a result of prostatic obstruction has been accepted for many years. With the development of surgery of the prostate gland, this idea has assumed new significance, so that the majority of surgeons have adopted measures designed to empty the chronically distended bladder slowly in order to avert such serious or fatal consequences as are said to follow abrupt withdrawal of the urine. However, there is in the minds of many a suspicion that the sudden withdrawal of the urine is per se quite harmless. A careful survey of the literature reveals that the subject has never been studied exhaustively, nor has any conclusive evidence been presented to show that the abrupt withdrawal of "residual urine" is of itself a dangerous act. True, deaths have followed such

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