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November 1946


Author Affiliations

From the Department of Urology, New York Post-Graduate Medical School and Hospital, Columbia University.

Am J Dis Child. 1946;72(5):529-535. doi:10.1001/archpedi.1946.02020340030004

THE medical profession is to be commended for its awareness of pyelitis and other infections of the upper part of the urinary tract, but, we fear, this has been achieved to the exclusion of an entity which is not quite so frequent but is much more puzzling, even if less serious. Urethritis in girls has received cursory mention but has never been accorded the emphasis which its incidence and importance merit.1 This entity may be defined as an inflammation of the urethra which is most prominent in the proximal portion and which may extend onto the trigone with or without active demonstrable bacterial infection.2 Occasionally, it is referred to in passing, although, as a matter of fact, it is not a minor or infrequent annoyance but a major problem little recognized by the general practitioner and pediatrician, and even at times overlooked by the urologist. There are too

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