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April 12, 1890

EXTROVERSION OF THE BLADDER.Read in the Section of Surgery and Anatomy, at the Fortieth Annual Meeting of the American Medical Association, June, 1889.

Author Affiliations


JAMA. 1890;XIV(15):529-533. doi:10.1001/jama.1890.02410150011001b

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The subject of the communication which I have the honor to present to you to-day is the report of operations upon two cases of extroversion of the bladder, a congenital deformity in which the bladder, with mucous surface exposed, protrudes hernia-like in the lower hypogastric region. Its anterior wall and corresponding portion of the abdominal parietes are wanting, and usually the symphysis pubis. The urine dribbles from the ureters, or is ejaculated in jets on coughing or sneezing. Its constant contact excoriates the skin of the genitals and thighs, and makes its possessor miserable and, with the attendant foul urinous odor, an object of repugnance to those about. This deformity is more common in males than in females. The other parts of the genitourinary system are usually present in a more or less developed state. My cases present one of each sex, and in the description of the abnormalities in

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