534 DISEASES OE THE ORGANS OF GENERATION. 



No hemorrhage appeared at the moment ; but there was some afterwards 

 for a few days, every time semi-erection took place for the purpose of 

 staling. Every thing went on pretty well until the thirtieth day, when 

 some difficulty in staling occurred. On examination of the penis, it was 

 found that this was owing to the process of cicatrization having drawn 

 the skin over the urethral orifice, and that the urine had forced an artificial 

 passage through a fistulous opening directed upward, whose outlet was 

 through the middle of the cicatrix . There was no getting at the part to 

 dilate this orifice and introduce the canula, and still the retention of the 

 urine was increasing." Amidst these difficulties M. Barthelemy deter- 

 mined on a new operation. He made an incision into the urethra four 

 inches above the ischial arch ; but, in proceeding, he met with so many 

 unexpected difficulties that he was obliged to give the operation up. 

 Undismayed by this failure, he practised a novel operation, he intended, 

 upon some condemned horses first, and then commenced anew on his 

 patient, by making a fresh incision between the old one and the ischial 

 arch. Here the urethra was easily found, and, a catheter being introduced, 

 the bladder was emptied of its urine. The catheter being withdrawn, a 

 pewter sound was introduced, and directed to the extremity of the penis, 

 and the cicatrix there crucially divided, sufficiently to admit of a ready 

 psssage. An oesophagus-tube was substituted in place of the sound, and 

 confined within the canal by means of strips of waxed linen and strings, 

 carried through the sides of the sheath, the same as setons, and the whole 

 maintained for two months, at the end of which time, complete success 

 crowned Barthelemy's enterprising operations. The author concludes 

 his paper with these deductions :— 1st, That amputation of the penis may 

 be performed on the gelding without any apprehension from hemorrhage ; 

 2dly, that to avoid any obstruction of the urethra, a pipe ought to be 

 placed in the canal, and, by rings affixed to it, sustained therein for at 

 least two months. 



In our owD country, the operation has been practised by- 

 Professor Sewell j by Mr. Snewing, of Coventry ; Daws, of 

 London ; Bailey, of Culoden ; Hutton, of Winterton ; Dyer, 

 of Jersey; Spencer, of Scotland; Woodger, of London; 

 Cartwright, of Whitchurch ; Lewis, of Monmouth, &c. 



Mr. Sewell's patient — whose case I extract from the * Farrier and 

 Naturalist' for 1828— was a horse sent to the College by Messrs. 

 Hanbury, with the penis hanging down, out of the sheath, considerably 

 swollen and excoriated, apparently occasioned by a stricture of the pre- 

 puce. This, in the course of a couple of months, by leeches, Goulard 

 lotion, bread and water poultices, fomentations, scarifications, suspen- 

 sory bandages, purges, diuretics, and rowels, was relieved, and the 



