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December 29, 1923


Author Affiliations

University, Va.

JAMA. 1923;81(26):2185. doi:10.1001/jama.1923.26510260002011a

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Direct cystoscopy in men with air distention of the bladder is seldom employed in this country, if one may judge from the infrequent reference to such examinations in the urologic literature. This procedure, with the patient in the knee-chest posture, has been used with such definite advantage in four or five instances that a brief report of these cases seems warranted. Certainly, in the first case operation could hardly have been avoided by any other method.


Case 1.  —A well developed young man was admitted to the University of Virginia Hospital on his statement that he had a nail in the bladder. About ten days prior to admission the nail had gotten away from him during urethral masturbation, and the resultant vesical irritation finally forced him to seek attention. Palpation along the urethra was negative. A sound elicited a metallic click in the bladder. Indirect cystoscopy revealed

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