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During my seventeen years experience in surgical work, it has been my fortune to perform a large number of external perineal sections. Among them, as might naturally be expected, operations for serious deep strictures have preponderated. I have selected from my cases a series of the most interesting of which I have records. Some of the most interesting cases have not been recorded because of various circumstances surrounding the operations which have made it at least impracticable, if not impossible, to do so.
I will first present the cases in their salient features, reserving my comments for the conclusion of the article.
Case 1: Traumatic Stricture.
—A lad, 15 years of age was brought to me by his parents with a history of urinary obstruction dating back one year. There was no history of gonorrhea, but of a blow upon the perineum, received some fourteen months prior to his consulting
LYDSTON GF. INTERESTING CASES OF PERINEAL SECTION, WITH REMARKS. JAMA. 1896;XXVI(10):471–477. doi:10.1001/jama.1896.02430620023002g
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