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JAMA. 1939;112(24):2485-2488. doi:10.1001/jama.1939.02800240001001.
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The average person has a natural dread of prostatectomy. In fact the average physician or general surgeon has no real conception of the safety with which this procedure may be carried out via the perineal route with sacral block anesthesia. I presume to carry this statement even further by suggesting that probably only relatively few in a select audience of urologic surgeons have a full realization of the opportunity for precision and accuracy which this procedure affords and realize that almost complete elimination of surgical hazard has become possible.

Mortality figures may be mentioned merely as a matter of record and with no purpose other than to emphasize the possibilities resulting from systematic elimination of the various hazards. My own mortality rate for perineal prostatectomy in a series of cases previously reported on a number of occasions and now totaling 741 is 2.7 per cent. Every postprostatectomy death, from any


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