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March 16, 1901


Author Affiliations

Professor of Genito-Urinary Diseases, New York School of Clinical Medicine; Genito-Urinary Surgeon, West Side German Dispensary; Genito-Urinary Consultant to the Metropolitan Hospital and Dispensary, to the United Hebrew Charities, Etc. NEW YORK CITY.

JAMA. 1901;XXXVI(11):712-714. doi:10.1001/jama.1901.52470110014002c

It would be a work of supererogation to recite here the indications for removal of the prepuce; your specialty has made them an every-day occurrence through the whole gamut, from those immensely elongated foreskins with adhesions, concretions of urinary salts and smega, to the barely enlarged fold which causes no perceptible local disturbance and yet provokes most serious reflex conditions. I believe that my experience does not differ from that of other genito-urinary specialists, who are often called in by pediatrists or general practitioners to operate, and afterward learn that the removal of an almost normal foreskin was followed by cessation of enuresis, infantile convulsions, or glycosuria that had resisted other treatment.

How should circumcision be performed, and who should perform it? The preparation of the field of operation is naturally the same as that employed for any other surgical procedure, and the details and precision to be observed are

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