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April 2, 1910

Male Diseases in General Practice. An Introduction to Andrology.

JAMA. 1910;LIV(14):1163. doi:10.1001/jama.1910.02550400049026

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As its name indicates, this work considers the surgical diseases of the organs peculiar to the male. There are a few points which require special approval as they are unusually well presented, though much of the technic developed by American surgeons is not introduced at all and weakened by its absence an otherwise strong work. The chapter on Varicocele is good and a commendable tabulation of the ultimate results of the operation is given showing 70 per cent, of the patients as distinctly improved. Circumcision in old men is advised as a prophylactic for penile carcinoma; also nerve blocking anesthesia is recommended for the operation. A chapter on Hermaphroditism brings out several interesting case histories. Some very pleasing work on the cremasteric reflex is mentioned and certainly opens up a field for investigation. The minor operation of meatorrhaphy is recommended in preference to meatotomy. This places epithelium to mucous membrane

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