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July 27, 1907


JAMA. 1907;XLIX(4):333. doi:10.1001/jama.1907.02530040045010

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Phimosis has been incriminated so often as a reflex cause of remote disease that it seems almost unnecessary to refer to it anew. A recent study of Witzenhauser1 refers to a rather important effect of phimosis which may be overlooked, as it occurs in very young children, and as it is not associated in the mother's mind with any urinary disturbance. This author states that he has been consulted by mothers in a number of instances with regard to small boys in whom the main symptoms were obstinate constipation with cramps, great restlessness, and, as a result, gradual deterioration of the general health. When the mother was questioned as to urinary disturbances she generally denied their occurrence, answering that the child urinated very freely. Witzenhauser found in many such patients that the constipation was associated with great dilation of the bladder from phimosis, with a retention overflow, and as a

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