ation of this kind, and
after death the bladder and ureter were found like those of a man who
had long suffered from stricture. Mr. Hilton has seen many cases similar
to the one mentioned by Dr. Bird. The greatest benefit resulted from
slitting up the prepuce. In this case the benefit was very remarkable, a
partial paralysis of the left side, under which the little patient
labored, being quite removed in twenty-four hours.

In this case the difficulty was evidently both the result of mechanical
pressure and reflex irritation. A somewhat similar case as to its
results is given by Dr. Sayre, to whom the case was reported by Dr. A.
R. Mott, Jr., of Randall's Island, in January of 1880: "John English,
aged 46, native of England, widower, clerk; admitted to workhouse
hospital. Patient had been at work for a week as a prisoner; on the 23d
of December was noticed to be restless and uneasy, and finally, in the
evening, he fell from his bunk in a fit. During the next forty-eight
hours he had several convulsions, and during the intervals lay in a
semi-comatose condition, showing no consciousness except to stir a limb
when pinched. Pulse, 120; temperature, 1011/2 deg.; respiration, 18.
Swallowed nothing, and passed faeces in bed. Continued in this condition
until December 25th (temperature having fallen to 100 deg.), when a string
was discovered passed twice around the penis behind corona and tied, the
long prepuce serving to conceal it from observation. While not
sufficiently tight to occlude the urethral canal, still a firm,
indurated band remained after the string was cut, and did not disappear
for four or five days.

"Within one hour after the removal of the string the man sat up and
asked for milk, and from this time remained perfectly well (was under
observation for three months). He declared that he remembered nothing
that had taken place during the past three days; had never had fits,
denied venereal diseases, was moderately addicted to drink, but had led
a 'virtuous life since the death of his wife, two years before.'"

The following case in the practice of Dr. F. J. Wirthington, of
Livermore, Pa., was also reported to Dr. Sayre: "When the child was
born, he was considered the biggest and finest boy that had been born in
the community for a long time, until, when he was about two and a-half
years old, and being sick, a doctor was called in, who told them that
their child was paralyzed, the paralysis being in his lower e