Tuesday, April 1, 2014

Historical Contribution: HH Young, The Punch Procedure, 1913


Transurethral prostatectomy: A new procedure (punch procedure) for small prostatic bars and contracture of the prostatic orifice. Young H.H. JAMA 1913;9:253

In 1904, Hugh Hampton Young performed the first perineal prostatectomy for the treatment of prostate cancer.  Continuing his innovation in the treatment of urologic and prostatic diseases, HH Young developed instruments and surgeries to treat men with a "median bar," what many urologist's would refer to today as a high-riding bladder neck without the classic bilateral hypertrophy seen in many patients with benign prostatic hyperplasia (BPH).  In this manuscript, HH Young describes a variety of patients, instruments and outcomes for men suffering from urinary retention.  Its a fascinating look at the status of urology in the early 1900's.

Read the entire article here.


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