The Hahnemannian monthly . r doing such a combinationoperation many of the complications known to follow an origi-nal Bottini would be entirely removed. First, because itslightly eliminates the factor of operating in the dark, by per- iled. Rec, April 28, 1900. 1900.] Bottini OperatioA for Hypertrophy of Prostate. 485 mitting intra-vesical manipulation. Second, in the event of1 Hemorrhage, an avenue is at once afforded for , that by tying in a drainage tube absolute retention is. entirely eliminated. Fourth, by forcibly stretching the pros-tatic uretha and neck of the bladder du
The Hahnemannian monthly . r doing such a combinationoperation many of the complications known to follow an origi-nal Bottini would be entirely removed. First, because itslightly eliminates the factor of operating in the dark, by per- iled. Rec, April 28, 1900. 1900.] Bottini OperatioA for Hypertrophy of Prostate. 485 mitting intra-vesical manipulation. Second, in the event of1 Hemorrhage, an avenue is at once afforded for , that by tying in a drainage tube absolute retention is. entirely eliminated. Fourth, by forcibly stretching the pros-tatic uretha and neck of the bladder during perineal urethrot-omy, cysto-spastic contraction will not occur. Fifth, with thedrainage-tube tied in the bladder, that organ can be drained 486 The Hahnemannian Monthly. [August, and irrigated for Beveral weeks, or indeed permanent drainage.•an be obtained, thus affording the best means for the cure ofa cystitis. Some surgeons prefer to do a supra-pubic operation,in order to obtain vesical drainage, yet the perineal method issuperior, because, first, it affords drainage by gravity: second,it is a most convenient artificial route for bladder irrigation ;third, it lacks the dangers arising from septic inflammation ofthe pne-vesical space, a condition so frequently resulting fromepicystotomy; fourth, its mortality rate is 12 per cent, lessthan the high operation—all very strong arguments. Having then outlined my reasons for a combination opera-tion, which I first practised in Apr
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