252 Surgical Diseases and Surgery of the Dog 



organ in another case. The following instance of mutilation came 

 to the notice of Moussu : A male being found accoupled with a fe- 

 male, the owner of the latter barbarously severed the connection 

 with a knife. The wounded animal was soon in a state of collapse, but 

 the hemorrhage being successfully arrested its strength was sus- 

 tained and it lived to an old age. The attendant practitioner being 

 unable to use a sound to prevent occlusion of the urethra by cica- 

 trization had to resort to urethrotomy. Moussu dissected the parts 

 after death and found the penis about an inch in length, regularly 

 rounded and presenting no trace of urethral orifice, though the 

 Itunen of the canal was still patent almost to the extremity of 

 what remained of the organ. The opening made to give exit to the 

 urine had persisted as a small fistula, the orifice of which was 

 covered by the hair of the region. 



Perforating wounds of the prepuce occasionally result from 

 bites. When they attain suflScient dimensions, the penis is apt 

 to slip through and out. 



Symptoms and Diagnosis. Constricting agents produce great 

 tumefaction and symptoms similar to those of paraphimosis. 



Treatment. The indications are to divide the constricting 

 body with scissors or scalpel. The operation is rendered difficult 

 by the local swelling. Subsequently the parts should be treated 

 as for paraphimosis. In cases of criminal amputation, the hem- 

 orrhage must be • arrested as speedily as possible by ligating the 

 divided vessels, if necessary after opening up the prepuce, and 

 the urethra treated as in legitimate amputation. If cicatrical sten- 

 osis results, a permanent opening must be established in the urethra 

 beneath the ischial arch to give exit to the urine. Wounds from 

 bites are treated in the ordinary manner. 



In one instance of stubborn healing of a preputial wound, 

 Hobday reported success after resorting to the "Cherry" process 

 of making longitudinal incision on either side of, and parallel to, 

 the original wound in order to lessen tension on the same. 



BALANO-FOSTHITIS. BALANORRHEA. 



These terms are applied to the familiar catarrhal inflamma- 

 tion of the mucosa of the prepuce and free portion of the penis. 

 The urethra is rarely involved. In many cases this disease or- 

 iginates as a primary local infection. At other times it develops 



