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September 6, 1919, Vol 73, No. 10 >

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ARTICLE | September 6, 1919

An Outline of Genito-Urinary Surgery.

JAMA. 1919;73(10):784. doi:10.1001/jama.1919.02610360054032.
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ABSTRACT

It is rather disappointing to note that neither in content nor in form of expression has the author succeeded in reaching his ambition as expressed in the preface: "The following pages are an attempt to simplify the rather complex subject of genito-urinary disease."

Accuracy of definition and clarity of description are lacking throughout. A few quotations: "In bladders distorted... the ureters may be impossible to find" (page 30). "Gonorrhea is at first a disease of the wall of the urethra" (page 77). Mucosa is evidently meant. "A band of scar tissue in the urethral mucosa and submucosa extending around the urethra is a stricture" (page 95). Stricture is not a band but a condition of narrowing of the potential urethral lumen by persistent pathologic changes. Scar tissue in the urethral wall running in a longitudinal direction may also diminish the caliber of the canal. "The resilient or gristly stricture may

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