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December 7, 1912


Author Affiliations

Clinical Professor of Surgery, Indiana University School of Medicine INDIANAPOLIS

JAMA. 1912;LIX(23):2064-2065. doi:10.1001/jama.1912.04270120049013

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Three decades ago the followers of Otis, who were very numerous, cut every stricture of the anterior urethra. To-day strictures of the pars anterior are rarely cut. This is owing to the teachings of Oberlaender, Wossidlo, Valentine and Kohlmann, and to the consequent increase of knowledge and more careful study of the dilatation treatment. It took years to establish the principle that sounds and dilators are not used to stretch strictures. Such an instrument in the urethra exerts a dynamic influence. According to Oberlaender, it induces retrograde metamorphosis, a reconversion of the fibrillary tissues into the original small-celled deposit, permitting absorption. It has been intimated that the cells of the infiltrate are rendered soluble or diffusible or absorbable by peptonization; and again that absorption is favored by a teasing apart of cells, as in the Bier method of inducing artificial hyperemia. Whatever theory may finally explain the phenomenon, it may

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