—The patient, J. N., white, aged 68, with an uniniportant family history, states that seventeen years ago (1894) he was operated on by Dr. Samuel Alexander in New York City, a perineal prostatectomy being performed. This was probably one of the first perineal prostatectomies performed in this country. For several years he was relieved of his symptoms with the exception of some incontinence, but for thirteen or fourteen years he has suffered wtih a return of the incontinence equal in extent to before the operation and frequent desire to urinate. For ten years he has had to wear a rubber urinal during the day and sleep with a glass urinal between his legs at night. He has never resorted to catheter life owing to the difficulty of its introduction. There is a marked alcoholic history. No erection since the operation in 1894.
—On admission to hospital, Sept. 20, 1911,