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where the penis was double, one being above the other, urine and semen flowing through both urethras. Gore mentioned a like case to the Academy in 1844. Dr. Vanier (Du Havre) records the case reported by Huguier to the Academy, where the organs in the anatomical preparation which he exhibited were so anomalous that it was impossible to decide the sex. Aside from the medico-legal aspects that these cases present, there is an interesting Jewish theological question connected with them. The law is explicit as to circumcision; the cases presenting, if males, should be circumcised, but how to determine the sex where an autopsy alone will decide the question is not defined. It has been decided, in such cases where the presumption is that the child is of the male sex, that, like in cases of absence of prepuce, a suppositious circumcision should be performed, so that the covenant should be observed; this being in keeping with the sentiment shown by the Jews when persecuted by the Romans, or, later, by the Spaniards, who often were not able to circumcise until after death; but they never fail to comply with the covenant as far as it is possible. Cases are liable to occur, however, which, without leaving the question as to sex in doubt, if reasoned by exclusion, would not furnish any possible opportunity for circumcision. Such a case is reported in Virchow's _Archives_, vol. cxxi, No. 3; also in the _British Medical Journal_ of December 6, 1890, and in the _Satellite_ for January, 1891. It is one of congenital absence of penis. "Dr. Rauber records very briefly the case of a shoe-maker, aged 38, who complained of pain and trouble in the anus. On examining him, Rauber found a well-formed scrotum containing two testicles, each with a vas deferens and spermatic cord, but no trace of a penis. The urethra opened apparently into the anterior wall of the rectum. The man occasionally experienced sexual excitement, followed by an emission into the rectum. The burning pain complained of in the rectum and about the anus was due to the irritation caused by the urine. The man would not allow an ocular inspection of the interior of the rectum. Unfortunately, the details of this very rare condition are incomplete." It would be interesting to know where the seat of his sexual desire is situated, unless an aching testicle is such. I once knew a Spiritualist who claimed to feel the pains suffered by any friends with whom he was in sympathy; he
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