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Abstract
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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References
- Clinical remarks on the treatment of inveterate pruritus ani.Brit. M. J. 1905; 1: 113
- The rectum, its diseases and developmental defects.in: Hodder & Stoughton, London1908: 323
- The rectum, its diseases and developmental defects.in: Hodder & Stoughton, London1908: 324
Foshee, J. C.: Unpublished data.
- Handbook on diseases of the rectum. The C. V. Mosby Company, St. Louis1926: 179 ed. 4.
Hirschman, L. J.: Personal communication.
- 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
- Proctologist, St. Louis. 1909; 3: 91
- A note on the value of Ball's operation for pruritus.Brit. M. J. 1910; 1: 440
Article info
Publication history
Received:
December 21,
1961
Identification
Copyright
© 1962 Published by Elsevier Inc.