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February 2, 1884


JAMA. 1884;II(5):113-116. doi:10.1001/jama.1884.02390300001001

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[Read before the Surgical Section of the American Medical Association, at Cleveland, Ohio, June 8, 1883.]

In no department of medicine or surgery has scientific progress been more rapid during the last few decades, than in genito-urinary surgery. The unity of hard and soft chancre is a theory no longer entertained. Tapping the bladder through the rectum with an ordinary trocar has been superseded by the superior process of aspiration above the pubes. “Tieing in” of catheters and sounds, in the treatment of various urinary affections, has been mostly abandoned. Locating stricture with a sound of even caliber, and considering every adult urethra where a No. 14 or 15 English sound could be passed, as large enough, aré fallacies no longer accepted.

I will here confine my remarks to the treatment of organic or permanent stricture of the urethra. This of itself is a very wide and comprehensive subject, and

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