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Article
December 6, 1913

OPERATIVE TREATMENT OF GENITAL TUBERCULOSIS: INDICATIONS AND TECHNIC

Author Affiliations

Chief of Genito-Urinary Department, Massachusetts General Hospital; Genito-Urinary Surgeon to Outpatients, Massachusetts General Hospital BOSTON

JAMA. 1913;61(23):2056-2060. doi:10.1001/jama.1913.04350240030013
Abstract

Most of us probably hark back to the old terminology under which we were brought up which regarded genito-urinary tuberculosis as a variety of starfish beginning in the bladder and radiating more or less completely in all directions. Certain remnants of this teaching still exist, and though tuberculosis of the kidney is now generally recognized as a primary lesion for the urinary tract, it is too little recognized that the genital tract also has its primary focus of infection. The term "genito-urinary tuberculosis" should be abandoned and we should come to recognize tuberculosis of the urinary tract as primary in the kidney, while tuberculosis of the genital tract in the male is primary in the epididymis. The bladder and the structures of the bladder neck, including the prostate, are more or less common to both genital and urinary tracts, and the prostate is therefore between two fires and may be

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