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October 29, 1904


JAMA. 1904;XLIII(18):1310. doi:10.1001/jama.1904.02500180040003

As the science of medicine grows older the use of such general terms as "irritable bladder" becomes less and less common on account of the fact that the pathologic conditions underlying such symptoms become gradually known, and the use of the symptom as a disease name ceases. At first sight irritable bladder as a symptomcomplex seems to belong to the class of diseases which have disappeared in the manner above mentioned, but a recent study by Hirsch1 shows that although in many instances this condition is merely a symptom of other diseases, there are cases in which it can not be explained in this way.

According to Hirsch cases which are described under the head of irritable bladder should have as their predominating symptoms frequency of urination with clear urine and a bladder which appears normal to the cystoscope. Hirsch admits that the number of such cases has been

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