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February 10, 1900


Author Affiliations


JAMA. 1900;XXXIV(6):350. doi:10.1001/jama.1900.24610060034002

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On Aug. 3, 1898, I was called to a neighboring town to operate on a man, 43 years of age, suffering from a foreign body in the urethra. Nine days previously, while manipulating the inside of his penis with a lead pencil, it escaped into the urethra. After five days, being unable to urinate, and suffering severely from pain, his physician was called, and attempted to pass a catheter, which was arrested at the proximal extremity of the pendulous urethra. I found an enormously swollen scrotum, with [ill] extravasation of urine throughout the perineal and pubic regions, extending to Poupart's ligament. There was a constant dribbling of urine from the penis, none having been passed naturally during the nine days. The man was suffering extremely, temperature 103, pulse 120. With the assistance of the attending physician, Dr. F. E. Steele, and Drs. C. C. Smith and O. D. Greene, under

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