0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |

Suprapubic Prostatectomy with Primary Closure of the Bladder by an Original Method: Preparation, Technique, and Post-Operative Treatment

JAMA. 1955;159(16):1577. doi:10.1001/jama.1955.02960330077026.
Text Size: A A A
Published online

ABSTRACT

Surgical treatment of prostatic obstruction has been variously modified since the first complete prostatectomy performed by Fuller about 75 years ago. The two methods widely used today, transurethral resection and retropubic prostatectomy, have been developed in the past decade. The operation described by Hryntschak is based on the suprapubic prostatectomy suggested by the Australian urologist, Harris, who advocated closure of the bladder immediately after prostatic enucleation. This method was tried by a number of urologists but was given up because of postoperative hemorrhage and the frequent occurrence of suprapubic fistulas. Hryntschak was impressed by Harris' theories and set out to develop a surgical technique that would obviate the postoperative complications. He succeeded in doing so, largely by compression of the periprostatic blood vessels through carefully adjusted sutures in the prostatic capsule and by perfecting a purse-string suture around the bladder incision, which rendered it watertight. These and other technical measures

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();