1890.] Three Cases of Hypospadias. 1017 
though there are two deaf mutes in the family of a brother on 
the husband's side. Of the five children born in this family, 
three were boys and two were girls. The sex of two of the boys 
and one of the girls was undetermined at birth, and was not fully 
determined until puberty, the boys during the intermediate period 
receiving girls’ names and wearing female apparel, They 
attended school dressed in female attire,and sat on the girls’ side. 
About the age of puberty they were suddenly sent away to 
school, still dressed in female attire and bearing female names, 
In due time they returned, dressed in male attire and bearing male 
names. 
In after years they were married, and a suit brought by the 
wife of one, charging “ that her husband was not a male,” enabled 
me to make a careful examination of the genital organs in order 
to establish the fact whether he was or was not a male. I may 
say, en passant, that the suit was granted by the court on the 
ground that although a male he was not capable of procreation. 
The examination disclosed the following: General appearance : 
That of an unusually well-developed and handsome man, five feet 
eleven inches in height, weighing 180 pounds. Of a nervous- 
Sanguine temperament. Face at this time hairless. Breasts nor- 
mally developed. 
Genital organs: A deep sulcus extending from the pubes to 
the perineum; in fact, occupying the place of the external organs 
of generation of the female. Posteriorly it terminated in a cul de 
sac, sufficiently deep to admit two fingers to the depth of two 
inches. Anteriorly was an abnormally-developed clitoris, two 
and one-half inches in length, having a glans and prepuce, 
but imperforate. The orifice of the urethra was found at 
base of the clitoris, there being an entire absence of 
the triangular smooth surface known as the vestibule. The 
urethra opened into a normally-developed bladder. The integu- 
ment, situated in front of the pubes, and which in the female is 
known as the mons veneris, was more developed than is usual in 
the male, and was covered with an abundant crop of hair. The 
folds of integument on either side of the sulcus (labia majora) 
contained a normally-developed testicle, having the usual form, 
