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January 8, 1910


JAMA. 1910;LIV(2):127. doi:10.1001/jama.1910.92550280001001o

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History.  —The patient, Mrs. F. L. H., consulted me March 16, 1909, giving the following history. She had ceased to menstruate several years ago and had never been pregnant ; she had a feeling of pressure and bladder irritation for at least fifteen years, a bearing down when ascending stairs, and a sensation like fire darting from side to side of the abdomen on the least exertion. She could not stoop over, as it made her feel as if a cord was drawn across the lower part of the abdomen. She had seen several physicians and had had treatment for uterine and bladder trouble. She had worn pessaries and had bladder irrigation among other remedies, which gave only temporary or partial relief at times. She was neurotic and discouraged.

Examination.  —I found a very sensitive spot in the urethra just in front of the bladder. The patient had used irrigation so much that

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