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January 29, 1910


Author Affiliations

Urologist to Hartford Hospital HARTFORD, CONN.

JAMA. 1910;LIV(5):375. doi:10.1001/jama.1910.92550310001001k

The condition here reported, which I have called periurethral abscess for want of a better name, might perhaps be better termed "subfrenai abscess," as I shall shortly demonstrate. I report it as interesting because of its infrequency and on account of its etiologic significance as the cause of recurrent gonorrhea.

History.  —The patient, a married man of 38, had contracted his first gonorrhea nineteen years ago. Was rapidly cured of it, and had no subsequent discomfort. After undue erethismic disturbance, some years later, he had another specific infection of the urethra, also rapidly cured, but at this time was apprised of a fistula at the side of the frenum. This sometimes discharged thin, grayish matter; at other times, nothing; it only occasionally gave symptoms of inflammatory irritation. The patient twice subsequently, after undue intercourse, acquired acute anterior gonorrhea, and, as stated, seemed certain of acquiring a fresh attack after every possible

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