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W. Calhoun Stirling, M.D.; H. W. Rollings Jr., M.D.
JAMA. 1927;89(22):1869. doi:10.1001/jama.1927.92690220001013.
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Recent experience with several cases of stricture of the urethra in which it was possible to pass only the smallest filiform reveals a meager armamentarium for handling such cases. With the exception of the LeFort filiform and steel follower together with the flexible urethral bougie and whalebone there are no instruments for handling cases in which it is impracticable to use the instruments mentioned. The presence of one or more areas of stenosis of the urethra at times precludes the use of a steel sound, so that it is very difficult to dilate the urethra from the size that admits a fliliform to a 16 or 18 French caliber. I have found that a ureteral bougie at times fills a long felt need for such an instrument whereby the urethra could be dilated up to a size sufficient to admit a steel instrument without the possibility of much trauma. In


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