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Show :50 his silk stockings. or romuxc A Mgw came The semen too, I believe, appears at the extremity of the urethra; but still there remains a lateral passage. The reason is this-the new canal joins the proper urethra a little below the opening of the urethra upon the surface. This part has been quite pressed Hat by the canuia, and much contracted; but by no means asyet have I been able to destroy the natural tendency of this part to secrete, in stead of taking on a proper suppurative action, to produce a raw surface, and to unite. By applying the practice in this operation to the common case of bad fistula in the perineum, I expect to make it a much H W up J mum simpler operation, and attended with less chance of the high illllummation WhiCh often proves fatal. 7 CHAPTER IVOPERATIONS ON THE PENIS. In phymosis, whether natural and congenital, as it often is, or the effect of disease, a [kind of gonorrhoea from the in ternal surface of the foreskin, attended with high inflamma- tion, and leaving behind it thickening and contraction of the preputium, the operation is the same. The preputium is to out up, and the glans freed. he completely , FIG.1 _: ' ‘ A .. may M‘ ,4. M "we 3.5.339: u:e~.--- : '40:)va ll 4 ; 1 ‘ "and OPERATIQNS 0); THE TENTS» Hgf C; // " /l/////////// "V" '1 ‘ Iii/"final? , , /%/‘ '.l,‘here is an instrument, the phymosis knife, A, which is a. union of the directory and sharp-pointed history; the latter lying Concealed until raised and pushed forward by pressure of the thumb on B. This instrument is introduced under the foreskin up to the point C, and then the pressure being,r made on B, the sharp-pointed knife D is pushed through the skin, When the knife is thus raised from the groove of the «that part of the instrument, which serves as a directory, the instrur a 1.." winner .. ,mlnm |