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February 25, 1893


JAMA. 1893;XX(8):220. doi:10.1001/jama.1893.02420350026005

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At a meeting of the Berlin Dermatological Society in 1892, Dr. Lewin spoke on the subject of ritualistic circumcision and its therapeutic indications. He stated that the prepuce is not a very favorable ground for infection, being thick, elastic, and not easily torn; as it contains parallel muscular and some elastic fibres, it is mobile and extensible to double its volume. It has neither sudoriparous glands or hair, and its sebaceous glands serve to maintain the suppleness of the skin. Being of inconsiderable volume, ulcers do not penetrate it deeply, and it is rarely the seat of a gangrene for which it need be amputated, and any mode of treatment may be employed for its diseases.

The other portions of the penis are less favorably formed for treatment; the glans, containing few elastic fibres, is neither mobile or extensible, and ulcers occurring therein are prone to pursue a destructive course.

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