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February 8, 1913

EPIDIDYMOTOMY: A PLEA FOR A RATIONAL TREATMENT OF EPIDIDYMITIS

Author Affiliations

Captain, Medical Corps, U. S. Army HONOLULU, H. I.

JAMA. 1913;60(6):415-416. doi:10.1001/jama.1913.04340060007003

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Abstract

The incidence of epididymitis in gonorrhea depends on so many known and unknown factors that a discussion of them is likely to be long and unproductive. Experienced observers speak of epididymitis in a wide range of incidence. Bevan of Chicago says that "about 20 per cent. of gonorrheal attacks are complicated with an involvement of the epididymis." In a series of 159 cases of gonorrhea treated in one of our large military hospitals during the past year, epididymitis occurred twelve times, i. e., in about 7.3 per cent. of the cases. Whatever factors effect this apparent variation in incidence, certainly this painful disease occurs with sufficient frequency to make a study of its successful management important to the genito-urinary surgeon.

The pathology of epididymitis is not intricate and is well set down in all the standard text-books. The teaching is that, after the invasion of the epididymis by the gonorrheal

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