September 22, 1923

A Monograph on Gonorrhœa.

Author Affiliations

By A. Reith Fraser, M.D., Lecturer in Venereal Diseases, University of Cape Town. Cloth. Price, 18 shillings, net. Pp. 508, with 105 illustrations. London: Henry Kimpton, 1923.

JAMA. 1923;81(12):1044. doi:10.1001/jama.1923.02650120076039

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This volume shows commendable acquaintance with the modern literature of gonorrhea, and a large experience in the treatment of the infected urethra in the male; remedies for such treatment are well chosen and wisely used. But the author's conception and treatment of gonorrhea beyond the urethra, that is, in the seminal duct proper, is less modern and less commendable. Thus, he states that extension of the infection to the vesicles is uncommon except in the chronic stage of gonorrhea (p. 314), although epididymitis, common in the acute stage, proves a preexisting vesiculitis. Consistently, he fails to recommend that when epididymotomy is performed (p. 334) the infected vesicle should be filled with a suitable solution by way of the vas at the same sitting, though such is current practice and teaching. In a long and critical discussion of the standard of cure in the male (pp. 401-416) there is no mention

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