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March 3, 1917


Author Affiliations

Fellow of the American College of Surgeons; Instructor in Clinical Surgery, Columbia University, College of Physicians and Surgeons NEW YORK

JAMA. 1917;LXVIII(9):693-699. doi:10.1001/jama.1917.04270030025009

A large proportion, perhaps the majority, of women who seek medical advice have some urinary disturbance. It may be of such slight degree, or of so gradual an onset, that the patient is not aware that she is the victim of this particular trouble. In such case the history of the disturbance is elicited only after close questioning. On the other hand, it may be of such severity as to be the prime cause of consulting the physician.

There is ample explanation, on anatomic and physiologic bases, for the frequency of urologic lesions, and the consequent disturbances of urination, in women. When we consider the anatomic situation of the female urinary organs, and the physiologic exigencies of adolescence, of the child-bearing period, and of the menopause, there is little wonder that affections of these organs are so common, so diverse in character, and often so distressing. The sexual organs, so

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