For a number of years my attention has been drawn with increasing frequency to a peculiar lesion of the meatus urinarius occurring only in circumcised male children, and characterized by ulceration, crusting, narrowing of the urinary passage, and nearly always accompanied by painful urination, often with distended bladder, and, occasionally, by hemorrhages. I have been able to find only one reference 1 to it in the literature. While this condition probably is common in occurrence in the experience of all pediatrists, I am inclined to believe that it is more common in this locality and in more recent years than in some other localities and in my own earlier years, and that the manifestations are more severe.
My first impression was that this lesion was caused by rubbing against the clothing of the naturally most accessible and most vulnerable portion of the exposed glans, the meatus. This, however, seemed improbable,