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To the Editor:—
In the Special Communication "Infections of the Urinary Tract" (195:193, 1966) Cook in essence says that with proper technique catheterization of the female bladder is harmless. This issue has been hotly debated, and many urologists, as well as internists, believe that catheterization is harmful. If a midstream urine specimen is collected, by the same technique as described in the article for catheterization, there is no more likelihood that the urinary stream will pass over the labia undetected than that the catheter will touch the labia accidentally while being inserted. I agree with Dr. Cook's statement, "To me, it seems utterly ridiculous to subject a patient to such a procedure when a simple method is available." This is true in comparing suprapubic aspiration of urine with catheterization, or comparing catheterization specimens with properly collected midstream urine samples.It has been demonstrated that careful midstream urine collection with
Schuster JA. Urinary-Tract Infections. JAMA. 1966;196(1):106. doi:10.1001/jama.1966.03100140160054