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To the Editor:
—In his article on this subject (The Journal, April 7, 1917, p. 1028), Dr. William S. Ehrich desires to know why the treatment of small ureteral calculi by operative cystoscopy and ureteral dilatation has not supplanted the open operation. The answer is that this more rational method of ureteral calculus removal has supplanted the open operation, and has been used for many years past by leading urologists throughout the country. Dr. Ehrich would certainly be aware of this fact had he reviewed the urologic literature of the past few years. An open operation is the exception today in the management of ureteral calculus.
Medical Compounds in Madagascar.
—The French customs tariff require medical compounds imported into Madagascar to pay a specific duty of 20 per cent, ad valorem maximum and 15 per cent. minimum. Merchandise from the United States is dutiable at the higher rate. Medical compounds
Walther HWE. REMOVAL OF URETERAL CALCULUS BY CYSTOSCOPIC METHOD. JAMA. 1917;LXVIII(16):1206. doi:10.1001/jama.1917.04270040194027
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