January 1, 1927


Author Affiliations

New Orleans
From the urologic department, Southern Baptist Hospital.

JAMA. 1927;88(1):27. doi:10.1001/jama.1927.92680270002008a

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The chronicity of gonococcal infections in the lower urogenital tract of the female is attributive largely to the infection finding lodgment in three structures; namely, the cervical glands, the glands of Bartholin and Skene's glands. The first two named are relatively easy of access, but Skene's glands, situated just within the urethra, are not readily exposed. Although the position of these glands is usually just above the lateral planes and about one-fourth inch from the meatus when the patient is examined in the dorsal recumbent position, the exact location is not at all constant. Like ureteral orifices, abnormal placements are frequently observed. Nevertheless, once the diagnosis of gonococcal urethritis in the female has been established, it becomes imperative for the urologist to search for these foci of infection in order that they may be efficiently dealt with.

Some years ago Chester B. Moore devised a cone-shaped endoscope, with the distal

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