The Treatment of Malignant Growths of the Male Urethra

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That primary carcinoma of the male urethra is a comparatively rare condition is evidenced by the small number of cases reported in the literature. In 1922 Braasch and Scholl2 published a complete review of the literature up to that date, and reported a case. Since that time additional cases have been reported by Kretschmer8 in 1923, Culver and Forster’ in the same year, Christen3 in 1925, Neuwirt, Bedrna9 and Peters10 in 1928. In 1928, additional cases were also reported by Fukai,6 and in 1929 by Flamm,5 Bieberbach and Peters,1 and also Huggins and Curtis,7 bringing the total number reported in the literature up to no cases.

To this number I wish to add three cases which have come under my observation and in which operation has been performed. All three patients are living at the present time without any signs of recurrence, one for nine years, one for eight years, and one for three and one-half years after operation. In one case there was a history of injury to the perineum; in another a history of long standing inflammation of the urethra followed by stricture, and in the third there was also a history of chronic urethral inflammation. In two of the three cases a local resection of the urethra was performed with end-to-end anastomosis. In both of these cases stricture followed; in one case an internal urethrotomy was necessary and the patient still has a rather firm, tight stricture, although he is not greatly inconvenienced. In the other case. . .



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