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We have here an unusual case. This patient is only eight hours old, and is brought here because the urethra is imperforate. Examining the end of the penis, the mucous membrane extends smooth and glistening over the end of the glans without a sign of an opening where the meatus should be. However, if I compress it laterally so as to throw the surface into wrinkles, there is a slight depression at the proper place for a meatus. Absence of the urethral canal is generally due to hypospadias, in which case the channel is not strictly non-existent, but is only uncovered, from the non-development of its floor, so that it is an open groove. In this case, however, the parts are anatomically finished, so to speak, but the canal was either never formed or it has become obliterated in utero. You will, however, bear in mind that just as the
ANDREWS E. IMPERFORATE URETHRA—EXCISION OF THE SUPERIOR MAXILLA—REMOVAL OF AN ENORMOUS HAIR MOLE FROM THE FOREHEAD. A Clinical Lecture Delivered at the Mercy Hospital, Chicago,. JAMA. 1886;VI(8):197–198. doi:10.1001/jama.1886.04250020057001
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