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October 27, 1917


Author Affiliations

Fellow of the American College of Surgeons; Atlanta, Ga.

JAMA. 1917;LXIX(17):1420. doi:10.1001/jama.1917.25910440001010a

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Not having seen a report of the employment of the high frequency current in the treatment of urethral caruncles, we desire to direct attention to the value of this method of destroying these troublesome growths. Our first experience with fulguration thus used was about two years ago when we fulgurated a large caruncle which had persistently returned over a period of several years after excision once, destruction by the actual cautery three times, and treatment with various cauterizing chemicals. We, as well as the patient, were much discouraged with the results obtained. We explained that fulguration treatment might succeed in preventing a return of this painful vascular tumor, and the patient readily consented to try this method. The surrounding tissue was infiltrated with a 1 per cent. solution of novocain, and the d'Arsonval current was applied until all of the red growth was whitened. Less pain followed the treatment than

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