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- W2108085757 abstract "T recent American Urological Association centennial issue of the Journal of Urology was devoted to landmark papers that advanced urology. Two papers, dated 1972 and 1983, pertained to the implantation of the prostate with radioactive sources.1,2 One might therefore presume that prostate brachytherapy originated in the latter part of the 20th century. In actuality, radium therapy was used in the treatment of prostate cancer many decades earlier by several prominent urologists.3–6 The leading innovator was Benjamin Barringer, who performed hundreds of transperineal implantations beginning in 1915. X-rays were first identified in 1895, and, as the equipment was inexpensive and widely available, therapeutic x-irradiation was attempted within months of the discovery. Radioactivity was discovered the following year and radium, the first clinically useful radionuclide, in 1898. Radium, however, was scarce and prohibitively expensive. Glowing reports of its therapeutic value led, in 1913, to the founding of the National Radium Institute to develop a domestic source. Coincidentally, James Ewing took control of the Memorial Hospital in New York. As a consequence of his interest in radium therapy, the institution acquired a substantial stock of the substance and Ewing recruited several young surgeons to explore its utility in the treatment of cancer. Benjamin Stockwell Barringer (Fig. 1) was born in New York City in 1877, and was educated at Cornell Medical School (1902) and Europe. He joined the Memorial staff in 1915 and by October of that year had begun implanting bladder and prostate malignancies. Within 2 years, he had performed more than 20 of each. Other urologists of his era used radium to treat prostate cancer.3–7 Most (including Hugh Hampton Young) used an intracavitary (sources placed within a natural cavity) technique, arraying radium capsules along the anterior rectal wall, urethra, bladder neck, and perineum.6 Although the gland was surrounded by the radionuclide, the dose delivered to the prostate was limited by the tolerance of the intervening skin and mucosa. Barringer’s interstitial (sources implanted into the parenchyma) technique circumvented this limitation." @default.
- W2108085757 created "2016-06-24" @default.
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- W2108085757 date "2002-10-01" @default.
- W2108085757 modified "2023-10-16" @default.
- W2108085757 title "Benjamin Barringer: originator of the transperineal prostate implant" @default.
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- W2108085757 doi "https://doi.org/10.1016/s0090-4295(02)01622-9" @default.
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