A METHOD FOR THE CURE OF URINARY INCONTINENCE IN THE MALE

Abstract
A variety of surgical methods have been advised for cure of urinary incontinence. C. L. Deming,1in a recent article, reported an ingenious operation for the cure of incontinence in the female. He successfully utilized a transplanted gracilis muscle to encircle the urethra, thereby giving to the patient for the first time satisfactory urinary control. Having a male patient suffering from urinary incontinence following suprapubic prostatectomy, it occurred to us to employ a gracilis transplant in an endeavor to effect a cure. REPORT OF CASE W. H., a man, aged 64, entered the San Francisco Hospital, Jan. 3, 1924, with a diagnosis of atrophic prostate, and a history of difficult urination, frequency, and residual urine of 120 cc. After various functional and urologic tests, a suprapubic prostatectomy was performed. Immediate convalescence was uneventful, the wound completely healing by the fourteenth day. He was discharged twenty days after the operation