no THE CANADIAN HOESE 



time. Purgatives should be given, and low diet for some 

 time. 



Unless there is extensive laceration of the substance of 

 the organ, nothing more than cold applications are required, 

 should it prove tardy in healing, goulard lotion, or a mild 

 solution of sulphate of zinc will prove beneficial. 'When it 

 continues, and the tumefaction increases, free and deep 

 longitudinal scarification must be made on its surface, and 

 repeated in a few days, if necessary. Sometimes charcoal 

 poultices are required- to cleanse the wounds and soothe the 

 part. 



AMPUTATION OF THE PENIS. 



Occasionally cases occur in which callous enlargements of 

 the extremity of the penis remain, preventing its retraction 

 within the sheath, rendering amputation necessary. This 

 operation is also sometimes performed in cases of obstinate 

 • and deep-seated ulceration of the tissues of the organ. He 

 must be cast and secured as for castration. The penis is 

 taken up and washed clean, a catheter is introduced, and a 

 broad tape or bandage is applied round the upper part, so 

 as to recover it should it slip out of the hands of the assist- 

 ant. It is now finnly held by the assistant, and a ligature 

 applied tight' enough to arrest the haemorrhage ; an incision 

 is then made with a scalpel or bistoury round the circumfer- 

 ence, sloping toward the urethra, which should be left an 

 inch longer than the other tissues. Having removed the part, 

 the vessels may or may not be ligatured as the operator sees 

 necessary ; we prefer to ligature them, as troublesome bleed- 

 ings sometimes follow the operation, when performed by 

 " one sweep of the bistoury," so frequently boasted of, and it 

 is more surgical than the application of the cautery, which is 

 too often made use of in arresting hsemorrhages, to save trouble 

 to the operator, regardless of the suffering of the patient. 



