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DIAGNOSIS AND SURGICAL MANAGEMENT OF OBSTRUCTIVE UROPATHY IN CHILDHOOD

REED M. NESBIT, M.D.; WILLIAM C. BAUM, M.D.
AMA Am J Dis Child. 1954;88(2):239-250. doi:10.1001/archpedi.1954.02050100241013.
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ABSTRACT

OBSTRUCTION at the outlet of the urinary bladder is commonplace in senescent men, and physicans in general are aware of its frequent occurrence and are alert in recognizing it. Yet the occurrence of similar obstructive uropathy in children is less understood by the medical profession, with the result that physicians and parents alike often overlook certain abnormalities of micturitional behavior in infancy which if recognized would lead to early discovery. For the male normally urinates a forceful high trajectory stream, which is at once the object of curious pride to his mother as well as the envy of his male parent, and he empties his bladder with a continuous stream. Any male infant who does not emulate the boy made famous in the statue in Brussels and who urinates with an interrupted stream must be regarded with grave suspicion. Such a child probably has an impediment to the natural evacuation

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