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Article
June 1936

TRUE HOUR-GLASS BLADDER: A CONSIDERATION OF ITS ETIOLOGY AND TREATMENT

Arch Surg. 1936;32(6):1007-1018. doi:10.1001/archsurg.1936.01180240095005
Abstract

The term hour-glass bladder has been used to designate a number of different pathologic and clinical entities. In this communication we shall not consider those cases included in Blum's1 classification under type III, namely, the acquired variety due and subsequent to severe trauma, ulceration, operation, cicatricial contraction, tuberculosis or other inflammatory processes. We shall likewise not consider those cases of diverticula of the bladder erroneously reported as hour-glass bladder. The patient whom we have studied and operated on presented what Kretschmer and Morris2 have called a true hour-glass bladder, regarding which there are but few reports in the literature. Young3 described the condition as "one in which the bladder is circularly constricted and divided into two portions with a narrow canal of communication as in an hour-glass." He stated that he had operated on a patient in whom the circle of contracture passed across the posterior wall

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