There was no h/o dysuria, haematuria, lithuria
or decreased urine output, neither was there any h/o vomiting, recent loss of weight or loss of appetite.
Upon finding that "our infantile sufferer revealed a sadly neglected phimosis," Hurd cut away his foreskin, a procedure whose delicacy he likened to resecting "the femur of a grasshopper." Before the operation, the baby's urine had contained "a copious sediment of uric acid [and] crystalline structures." Afterward this lithuria
disappeared, leading Hurd to conclude that irritation from the foreskin must have been impairing renal function.(17)