in
thing to be guarded from.

Other works that mention these conditions are equally on the wide sea of
speculation, as they all, more or less, look upon the treatment that
they advise as indefinite and unsatisfactory, showing an equal want of
sound anchorage-grounds for their etiological reasonings. Dillnberger,
of Vienna, in his hand-book of children's diseases, mentions enuresis,
but has nothing better to offer for its relief than that advised by
Bednar, who followed a systematically-timed period of awakening,
gradually lengthened out, from the time of putting the child to bed. In
addition, he advises internal medication, and, like Ultzmann, he
recognizes the possibility of a local cause in little girls, in whom he
advises the local application of nitrate of silver. Edward Ellis
mentions dysuria, and a long prepuce is noticed among its numerous
causes. The works that give the subject the most intelligent treatment
(the word "intelligent" is here used advisedly, and is in reference to
the results obtained) are those of West, of London, and Henoch, of
Berlin. West, in his "Diseases of Children," says: "In the child,
however, we sometimes find the symptoms produced by difficulty in making
water owing to the length of the prepuce and the extreme narrowness of
its orifice, which may even be scarcely large enough to admit the head
of a pin. This congenital phimosis is, I may add, not an infrequent
occasion of incontinence of urine in children, and is also an exciting
cause of the habit of masturbation, owing to the discomfort and
irritation which it constantly keeps up. In every case, therefore, where
any difficulty attends the passing or the retention of the urine, or
where the practice of masturbation is suspected, the penis ought to be
examined, and circumcision performed if the preputial opening is too
small. This little operation, too, ought never to be delayed, since, if
put off, adhesions are very likely to form between the glans and the
foreskin, which render the necessary surgical proceeding less easy and
more severe."

In the "Lectures on Diseases of Children," Henoch, of Berlin, says: "I
need scarcely add that an examination of the external genitals should
never be omitted in any case of dysuria during childhood. You will not
infrequently discover a phimosis which interferes more or less with the
discharge of urine and retains portions of the latter behind the
foreskin, where it may decompose and give rise to a