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April 6, 1907

Genito-Urinary Diseases and Syphilis.

JAMA. 1907;XLVIII(14):1200. doi:10.1001/jama.1907.02520400052019

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This work is admirably written, well arranged and well printed, and the author's ideas, which are those of the German school, are clearly set forth. The subject of gonorrhea is well covered, and the treatment of acute and chronic urethritis is explicitly dealt with. Recapitulations, which are frequent, could well have been sacrificed to the elaborations of the more important subjects. The author's advice in case one fails to find the urethra in doing an external urethrotomy without a guide, to blindly puncture with Guiteras' trocar in order to reach the limit of the canal behind the stricture, must surely be condemned as unwise, as the results might be unsatisfactory, not to say disastrous, if such procedure were followed by others than the expert operator. Neither can we agree with the statement that it is necessary to produce ptyalism in order to cure syphilis, nor with the advice to curette

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