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December 5, 1896


Author Affiliations


JAMA. 1896;XXVII(23):1176-1177. doi:10.1001/jama.1896.02431010004002a

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I do not propose to discuss the theory offered by the laity and some doctors that circumcision is necessary from a sanitary standpoint, nor do I propose to criticise a Jewish custom or change a church ordinance, but I desire to show the etiology of a long or abnormal phimosed prepuce in male children. I desire also to show how this abnormal prepuce can be shortened without circumcision. We will first notice these long prepuces found in children. The cause can be found by the following examination: If we retract the prepuce as far as we can without using any violent manipulations, we find at the juncture of the mucous membrane with the true skin a constricted band that has at some time undergone an inflammatory process; this constricted band plays just in front of glans penis, the action of which pulls down and forward resulting in a mechanical action,

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