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Edward L. Keyes, M.D.
JAMA. 1934;103(14):1085-1086. doi:10.1001/jama.1934.02750400053026.
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In a recent contribution to The Journal (Young, H. H.: Transurethral Resection of the Prostate, The Journal, June 9, p. 1913) a slight error credits me with a death rate of 40 per cent following the operation of suprapubic prostatectomy. The error would not be worth comment had it not elicited from a number of kindly disposed urologists protests that exhibit a misconception of certain social phenomena that underlie the ancient dispute between the prostatectomists, perineal and suprapubic, as well as the modern antagonism between the champions of prostatectomy and those of prostatic resection.

Operations owe their initial vogue to advertisement. The adjective "conservative" attributed by Dr. Young to the operation of perineal prostatectomy, for example, conveys an aroma of sexual immortality most enticing to the aging male. In the history of prostatic surgery there have been a large number of operative procedures (most of them covering incompetence to do


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