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Article
July 13, 1935

PREPUTIAL CALCULUS, A CLINICAL RARITYREPORT OF A CASE

JAMA. 1935;105(2):106-108. doi:10.1001/jama.1935.02760280018006
Abstract

History.—  A Negro, aged 30, admitted to the Genito-Urinary Service of the Philadelphia General Hospital, Dec. 4, 1933, complained chiefly of acute urinary retention. Since birth he had never been able to retract the foreskin of the penis. Urine was expelled in a fine stream through a narrow opening in the prepuce. At each attempt at micturition, the urine flow being retarded not at the meatus but at the preputial orifice, there was a ballooning of the foreskin to form a sac, which had to be emptied by manual compression. For some months prior to admission, however, he had been unable to empty this preputial sac completely because of the presence of some hard substance, which he could easily feel in this structure with his fingers. This had increased rather rapidly in size until the sac had become swollen and hard, as though filled with stone. With the appearance of

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