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March 12, 1932


Author Affiliations


From the Department of Obstetrics and Gynecology of Passavant Memorial Hospital and Northwestern University Medical School.

JAMA. 1932;98(11):861-864. doi:10.1001/jama.1932.02730370001001

In presenting a summarized sketch of my subject, the pathology and clinical features of obstructions and strictures of the uterine cervix, it is my hope that I may suggest some new points for consideration. One encounters cases of cervical stricture repeatedly every month, and I am increasingly impressed that these lesions are of outstanding importance—of such importance that they merit the attention not only of the gynecologist but of the internist and the general practitioner as well.

ETIOLOGY  Cervical strictures in younger women occur most frequently in those who give a history of genital infection or instrumentation. Gonorrheal infection, particularly in those cases in which there has been considerable treatment of the cervix, is perhaps the most common of all causes of stricture. The use of radium within the uterus rivals gonorrheal infection. The cautery knife, so popular in modern times in the treatment of endocervicitis, may be useful in

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