[Results of Millin's retro-pubic prostatectomy compared to those of diathermic reactions of the prostate].
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Prostatectomy was done in 589 cases in a five-year period. The operation was done transurethrally in 530 cases of benign disease and in 50 cases of malignant lesions. In six cases of malignant disease and three of benign, open procedures were used. Results of transurethral prostatectomy were considered good or excellent in 94.4 per cent of the cases of benign hypertrophy and in 92 per cent of the cases of carcinoma. It was felt that radical perineal prostatectomy was advisable for early operable cases of carcinoma, but that the transurethral procedure was more suitable in almost all cases of benign hypertrophy.
Transurethral procedures were used in 620 of 677 cases in which prostatectomy was done (principally by residents supervised by a urologist) at a county hospital in a six-year period. Open operations were used in the other 57 cases. Results were classified as "excellent" in 46.8 per cent of the transurethral cases and as "good" in 36.3 per cent.
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