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Robert Lich Jr., M.D.; W. Vinson Pierce, M.D.
JAMA. 1941;117(5):346-347. doi:10.1001/jama.1941.72820310002007a.
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It is our purpose in this paper to reemphasize the fact that uncontrollable prostatic hemorrhage can and does occur in benign hypertrophy. We have reference not to the hematuria so often associated with prostatism but indeed to a massive hemorrhage which actually threatens the life of the patient. That such a situation may occur spontaneously is significant, and its appreciation bespeaks caution in the use of instruments on the urethras of persons with prostatism.

Adler1 in 1892 reported the first case of uncontrollable prostatic hemorrhage due to ruptured prostatic varices following urethral catheterization. Shivers2 in 1935 reviewed the existing literature, and since that time 9 additional cases have been reported by Nitsche3 and Hyman and Leiter,4 bringing the total number to 35. Hyman,5 since his article in 1938, has seen 2 additional cases, and we wish to report a case of our own.



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