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Walter T. Dannreuther, M.D.
JAMA. 1923;81(12):1016. doi:10.1001/jama.1923.26510120004011c.
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Urethral anomalies in the female are rare, and very few cases of double urethra have been recorded in medical literature. Urogenital malformations are usually congenital, and are the result of imperfect, incomplete or abnormal development, but the etiologic factors concerned in their production are uncertain. Heredity, malnutrition and syphilis are possible but doubtful causes.

Mrs. K. H., aged 50, came under my observation recently. Her father and two brothers had died of tuberculosis, and her mother, of "liver abscess." The patient menstruated at 11, married at 16, and passed the menopause at 42. She lived a normal marital life, but never became pregnant. Continuous good health had been interrupted only by the ordinary diseases of childhood and the annoyances of constipation. The details of her previous history are irrelevant.

The patient complained of increased diurnal frequency of urination, nocturia, and a burning sensation on voiding. These symptoms had been present


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