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September 3, 1932


Author Affiliations

Norfolk, Va. Senior Staff Urogenitologist to Protestant, St. Vincents and Memorial Hospitals; Consulting Urogenitologist to the United States Veterans' Bureau

JAMA. 1932;99(10):831. doi:10.1001/jama.1932.27410620001009

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This case was unusual in that the preputial orifice was so greatly phimosed that a small quantity of urine always remained within the preputial sac, while at the same time five small, smooth and fairly round uric acid calculi were found entrapped therein.

A Negro boy, aged 15, presented himself in June, 1931, with the complaint of painful and difficult urination.

The patient was of the arrested mental development type and appeared to have the wit of a child of 10. The parents being absent at the time of the examination, no dependence could be placed in the past history. No information relating to urinary calculi could be elicited.

The boy had been having trouble in voiding the urine for some years. In the past six months the difficulty had been vastly increased; there was much soreness in the region of the glans penis, together with burning pain during and