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Article
January 19, 1895

LITHOTOMY AFTER PARTIALLY SUCCESSFUL CLOSURE OF EXSTROPHY OF THE BLADDER—SUBSEQUENT CONSTRUCTION OF A PERINEAL URETHRA FROM SCROTAL TISSUE.Read before the Philadelphia Academy of Surgery, Nov. 5, 1894.

Author Affiliations

PHILADELPHIA, PA

JAMA. 1895;XXIV(3):71-72. doi:10.1001/jama.1895.02430030001001

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Abstract

In March, 1893, a child, aged 8 years, with exstrophy of the bladder, was brought to me at the Polyclinic Hospital for treatment. The mother told me that when 3 or 4 years old he had been operated on at the Children's Hospital. It was evident that some improvement in the condition had been made by this early operation, because the posterior wall of the bladder did not protrude, as is often the case, but formed a rather shallow cup at the base of the rudimentary penis. The flaps had evidently been taken from the surface above the congenital defect and at its two sides, as in Wood's operation, for the cicatrices in these regions were apparent. The urine ran from the bladder over the penis and scrotum, and also escaped from linear sinuses along the top and sides of the thickened tissue which closed the upper portion of the

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