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August 16, 1902


Author Affiliations


JAMA. 1902;XXXIX(7):363-369. doi:10.1001/jama.1902.52480330017001d

It is not a little strange that although enough has been written about strictures of the urethra to fill volumes, practically nothing, and next to nothing practical, has been said of strictures of the ureters.

A stricture of the urethra is the occasion of a damming up of the urine in the natural vesical reservoir, and as soon as such an accumulation reaches a point beyond physiologic limits the desire to urinate becomes so imperative that relief must be found either by natural or by artificial means. If a urethral stricture repeatedly asserts itself in this way the victim hastens to a surgeon and continues under his treatment until some measure of relief is secured. It is quite otherwise with a stricture of the ureter, which may develop gradually and in which the signs are often not at all urgent; the lumbar pain, due to the urine forced back into