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To the Editor:
—In The Journal, April 1, page 1076, is an abstract of an article on essential hematuria, by Löfberg. In reference to the treatment of this condition, the statement is made that "of the various operative procedures, nephrectomy best meets the indications." Löfberg reports eight cases observed in the course of ten years at the General Hospital at Malmö, Sweden. A nephrectomy was performed in seven.During the past seventeen years I have seen ten patients with hematuria in whom no lesion could be found to account for the profuse bleeding. Ureteral strictures were among the disorders suspected as causative factors and were excluded by the usual urologic methods. Yet, in all of these patients, dilation of the ureters was followed by cessation of blood. From one to three dilations were required, according to the size of the catheters introduced and the length of time they were retained.
Ballenger EG. ESSENTIAL HEMATURIA. JAMA. 1933;100(19):1557. doi:10.1001/jama.1933.02740190083031
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