oes not _completely
and perfectly_ subdue the malady, lose no time in securing the most
skillful appliances, that every vestige of the affection may be promptly
removed. We have treated many thousands of cases with uniform success,
and our patients write to us expressing the greatest degree of
satisfaction, and recommending our method most highly.

Reports of a few cases, selected at random from the large number which
we have cured, are given below to illustrate our success in curing them.

ANAL FISTULA. (FISTULA IN ANO.)

This disease is _more dangerous_ than piles, though, after once formed,
not so painful. It sometimes commences with intense itching about the
anus, accompanied with a little discharge; or the first symptom may be a
painful abscess, like a boil, which finally breaks. The soreness then in
a measure subsides, leaving a fistulous opening, with a continuous
discharge of matter. This unnatural opening, with its constant drain
upon the system, sooner or later is certain to ruin the health or
develop consumption or other maladies, and destroy life.

Fistula in Ano may exist in three conditions: First, complete
fistula--when the opening is continuous from the cavity of the rectum or
bowel to the surface of the skin, so that liquids, gases, etc., escape;
secondly, internal incomplete fistula, when the opening extends from the
inside of the rectum into the tissues surrounding it, but not through
the skin. A few cases of this kind exist, while the sufferers are
unconscious of the nature of the difficulty, supposing it to be piles or
some trouble--they know not what. Thirdly, external, incomplete fistula,
when the opening extends through the skin into the tissues around the
rectum, but does not enter the bowel.

Other complications, such as pendulous tits or projections, from
one-fourth to one and a half inches in length, are attendant upon
fistula. Two or more openings may appear in the skin, all communicating
with the same sinus, or opening into the rectum. Sometimes only a small
external opening is seen, while a large abscess exists internally. In
any case, the discharge is not only reducing to the system, but it is
disgusting and offensive.

CAUSES The causes are a constitutional predisposition, constipation,
piles, or the presence of foreign bodies in the rectum, causing an
abscess or ulcer. Some authors have contended that fistula always
originates from an ulcer in the rectum, which gradually makes