The controversy concerning the relative merits of the perineal and suprapubic routes of prostatectomy has finally become somewhat stabilized. Successful results in prostatectomy depend on the method in which the surgeon is trained and on variables of the individual case. The method of suprapubic prostatectomy has been to a great extent standardized. However, the perineal route has not as yet reached full maturity, and in its growth has been wont to arouse the concern of many of its benefactors. The numerous approaches and modifications, many of which have been put forth by foreign contributors, have left many groping for the most proficient and efficacious route.
The medical profession owes much to Young and his pioneer work in standardizing a perineal route, and to the work subsequently carried on by his pupils. However, in order to establish a final clarity, the various methods should be put forth and clearly stated.