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Dr. Zufall replies in the letter which follows.
Dr. Rinker expresses the opinion of many urologists, who feel that the symptoms of which these women complain must be related to the various things found in their bladder outlets. Good response to local treatment naturally strengthens these impressions.
I have been unable to establish any statistical basis for these ideas. In my experience there has been no correlation between symptoms, cystoscopic findings, and response to one or another treatment. My experience would suggest that Dr. Rinker's grateful patients may have been helped as much by his being a sympathetic and concerned physician as by his treatment of the trigones.
It has been called to my attention that urethral meatotomy has been used for years in the treatment of this condition and I shall certainly try it.
In the July, 1963, issue of the Journal of Urology, Dr. Streitz notes that the
Zufall R. Urethral Syndrome?-Reply. JAMA. 1963;186(1):83. doi:10.1001/jama.1963.03710010117034
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