Research Article| Volume 52, ISSUE 2, P318-322, August 1962

Pruritus perinei and the ball operation

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      One hundred fifty-six cases of chronic intractable pruritus perinei, of the severe type, treated by the Ball operation, are reported.
      There were 4 recurrences, all in women, all with extensive perineal and clitoris involvement. Two had diabetes which was allowed to get out of control. They were reoperated upon under control with satisfactory results. Two had recurrences, probably because of inadequate severance of all sensory nerves to the skin over and about the clitoris. These 2 patients were reoperated upon with complete severance of every nerve fiber and have remained cured for 26 and 6 years, respectively.
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        • Ball Sir Charles
        Clinical remarks on the treatment of inveterate pruritus ani.
        Brit. M. J. 1905; 1: 113
        • Ball Sir Charles
        The rectum, its diseases and developmental defects.
        in: Hodder & Stoughton, London1908: 323
        • Ball Sir Charles
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        in: Hodder & Stoughton, London1908: 324
      1. Foshee, J. C.: Unpublished data.

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        Ball's operation in treatment of cases of pruritus ani with report of cases in which necrosis of the flap occurred.
        Lancet-Clinic, Cincinnati. 1909; 102: 1
        • Krouse L.J.
        Proctologist, St. Louis. 1909; 3: 91
        • Leighton P.
        A note on the value of Ball's operation for pruritus.
        Brit. M. J. 1910; 1: 440