Studies on hypertrophy and cancer of the prostate.

  • Hugh H. Young
Date:
1906
Catalogue details

Licence: Public Domain Mark

Credit: Studies on hypertrophy and cancer of the prostate. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Recto-urethral fistulse 120 Incontinence of urine 120 Pain 121 Preservation of sexual powers 122 j. The pathology, as shown by a study of 120 cases 124 fc. Conclusions 140 PREFACE. I. Misleading Statements and Statistics in the Literature. The following paper is the result of numerous articles which have appeared recently, demanding more detailed information as to the pre- and post-operative condition of patients on whom perineal prostatec- tomy has been performed. The promulgation of successful methods of removing hypertrophied prostates, and the assertion of their benignity has been followed by their wholesale employment by men unprepared to do these operations, and as a result a considerable mortality has been produced and many of the operative results have been imsatisf actory. Many physicians without special operative training, doing a surgical operation only now and then, without the requisite knowledge of the rather intricate anatomy of the perineum, and the pathology and mechanics of the prostatic obstructions, have boldly essayed to operate these cases and as a result a frightful mortality and a horrible record as to results and complications has been recorded against a benign and thoroughly successful procedure. It is not surprising then that Whiteside finds a mortality of 20% in 36 cases reported by nine operators, and absolutely good results in only 30% of the cases, and that Belfield and Pedersen after making similar studies shoidd send out timely warnings against prostatec- tomy as a routine procedure, and that we should hear of a return to conservative methods,^' non-operative treatment, the catheter life (with all its horrors!), and the selection of cases which are suitable for operation. If the reaction against operation which has been aroused (for the pendulum once started backward must continue its swing) results in discouraging men imprepared to do good work in this line, men who cannot use and decry the using of the cystoscope and ignorantly neg- lect to take advantage of its often great assistance, and who rush in
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