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February 20, 1943


Author Affiliations


From the Department of Urology, Baylor University Medical College.

JAMA. 1943;121(8):573-580. doi:10.1001/jama.1943.02840080021005

John Caulk1 in 1921, in a paper entitled "Contracture of the Vesical Neck in the Female," as far as we have been able to find, is the first to suggest resection for bladder neck obstruction in the female. In that paper only 1 case was reported. In 1935 he2 again called attention to the subject.

In 1933 Nesbit3 reported 2 cases of bladder neck obstruction which he cured by resection.

In 1934 Fite4 reported 1 case in which resection accomplished a brilliant cure.

Caulk5 in 1937 reported a total of 15 cases coming under this classification. Twelve of these were due to inflammatory contractures, 1 the result of lobulations at the orifice cystoscopically similar to prostatic lobes, 1 the result of a subtrigonal hypertrophy and the other a large papillary mass.

The Dutch urologist Van Houtum,6 in an article titled "Prostatism in General and

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