It was over a decade ago that the attention of American urologists was summoned to the efficacy of transurethral surgery for the removal of many of the large prostatic obstructions. Throughout these years they have been repeatedly advised of the ever increasing value that the Caulk cautery punch seemed to afford for the removal of such obstructions. This operation has fulfilled the obligations that were demanded of it as an acceptable surgical procedure; namely, simplicity of operative technic, applicability, freedom from complications and disabling sequelae, negligible mortality rate and, above all, satisfactory and lasting results.
The results of this operation have been detailed specifically on innumerable occasions and shown to be productive of excellent results in at least 80 per cent of all obstructions. Last year one of us1 reported an analysis of 781 cases. In this series there were 100 very large prostates that were removed by this