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March 3, 1888


JAMA. 1888;X(9):282-283. doi:10.1001/jama.1888.02400350030012

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Dear Sir:  —I find in The Journal of November 19, 1887, an article on "Congenital Phimosis," read before the Section on Diseases of Children at the thirty-eighth annual meeting of the Association, by Professor Wm. S. Stewart, of Philadelphia, in which he clearly sets forth the reflex manifestations resulting from this abnormal condition, as every careful surgeon of experience has met them, and as have as often been overlooked by the careless diagnostician, with the result of failure in treatment; leaving the little patient to suffer and disappoint the expectations of over-confident and anxious parents. To overcome the difficulty he advocates dilatation instead of circumcision. Any means by which the abnormal condition can be removed successfully without a bloody operation, and comparatively painlessly, will be gladly received by the profession, and with delight by parents having children so afflicted.But how a four bladed instrument, of sufficient strength to accomplish

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