Bottini Operation
Historical document, translated for reference. It reflects medical knowledge of the 1920s–30s and is not medical advice.
Summary
The Bottini operation is a transvesical incision of an enlarged prostate using a special platinum instrument heated by galvanic current. While later modified and combined with a cystoscope, the procedure performed blindly has fallen out of favor due to significant complications.
Encyclopedia entry (1928–1936)
BOTTINI OPERATION (Bottini), transvesical incision of an enlarged prostate gland by means of a special platinum instrument designed by the Italian surgeon Bottini, which resembles a blade and is heated by galvanic current to cut the prostate bloodlessly. The instrument is constructed on the model of a lithotrite, of which the male branch is the cutting part; it has an apparatus for passing water through it for the purpose of cooling the instrument.
Subsequently, the instrument was improved by various authors and combined with a cystoscope (Freudenberg, Desnos, Wossidlo, and others). However, the B. o., performed blindly, is not held in high regard, especially since it can cause numerous complications: bleeding, damage to the bladder, urethra, and sphincter, incontinence, urinary retention, etc.
Therefore, the B. o. at present has been abandoned and is almost forgotten.
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“Bottini Operation.” Soviet Medical Encyclopedia. English translation of Bolshaya Meditsinskaya Entsiklopediya, 1st ed. (Moscow, 1928–1936), ed. N. A. Semashko. https://sovietmedicalencyclopedia.pages.dev/article/bottini-operation/