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In some cases, fibrosis (the formation of scar tissue) or the accumulation of fluid can contribute to these lumps

Costa RS, Jones T, Robbins S, Stein A, Borns-Weil S

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A randomised cross-over clinical trial has shown that, compared to the standard administration route, direct delivery within the urethral meatus can increase efficacy and confidence among patients, without increasing adverse effects [446]
