This monograph is limited to a discussion of suprapubic prostatectomy with primary closure according to the technique devised by the author. A good historical review of the various methods used in bladder closure is presented, and as far as the author is able to determine, he is the first person to use purse string sutures in closing the bladder. In some instances he uses a cross stitch over the first purse string suture, over which he uses another purse string suture.
The author stresses the importance of close cooperation with the internist in the study of the cardiovascular system before the operation. In the preoperative preparation of the patient, he prefers to avoid the use of the indwelling catheter when there is no infection. He believes the use of the indwelling catheter predisposes to embolism and thrombosis, two conditions that play a large role in the cause of deaths. The