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July 17, 1915


Author Affiliations

Milwaukee, Wis.

JAMA. 1915;LXV(3):243. doi:10.1001/jama.1915.02580030035016

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F. M., German, aged 19 years, machinist helper by trade, with poor general physical condition, and mentally below par, was given to frequent masturbation, and was of that type inwhich direct irritation of the urethral mucosa was necessary for complete sexual satisfaction. The chief complaint was general weakness and constant dribbling of urine.

Three years before, while he was masturbating with a bougie molded from a piece of chewing gum, it accidentally went beyond his reach, entered the bladder and caused the subsequent cystitis. The patient kept on working as usual, until three weeks before I saw him (Sept. 15, 1914), when incontinence set in and a constant gripping pain began to annoy him at the neck of his bladder. He had not worked since the latter train of symptoms came on, but sat about all day, listless and dull, in clothes reeking with the odor of foul urine. He

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