ard was pierced and slipped over this, and then adhesive rubber
straps were brought from the integument to this little platform, the
first being from the median line of the scrotum, lifting the sac forward
and upward. The pubes were shaved and the next four straps started from
the root of the penis, each strap being split at the glans-end so as to
encircle the protruding end of the catheter. By these means the skin was
brought back and firmly supported over the penis, toward the glans; and,
in case of any erection, the act would only assist in drawing the
covering farther over the penis as the pasteboard platform and adhesive
straps formed the distal end of an artificial phimosis. The catheter
allowed of free urination, and the scrotum was further held up in
position by a flat suspensory bandage passed underneath the scrotum and
fastened over the abdomen near each hip. The penis wound was then
dressed with a very little benzoated oxide-of-zinc ointment passed
between the adhesive straps; a bridge-support placed over the hips to
support the bed-clothes, and all was finished, and full doses of bromide
of sodium and chloral were ordered at bed-time. When the dressings were
removed, five days afterward, all was healed, the sutures removed, and
the suspensory alone replaced. The patient had not been troubled with
any more erections or annoyances of any kind. These are the points which
often do more or less mischief: wet dressings are uncomfortable and
favor erections, while the effect of the weight and action of the
scrotum in drawing backward on the integument should not be overlooked;
in addition, it should not be overlooked that we have it in our power to
produce, so to speak, an artificial phimotic action, which has the same
traction on the penis-integument that the natural phimosis induces.

The foregoing method, to be used in these cases, has proved very
serviceable in my hands, and it is here given that it may assist others;
as there is no need of waiting for granulations or of allowing the
patient to undergo so much misery, which, besides the local injury,
cannot help but affect the general health very injuriously. The penis
can stand any amount of forcing backward; it stands this in cancer or
hypertrophy of the prepuce, or in the inflammatory thickenings that
precede gangrene of the prepuce, in any extended degree; becoming, for
the time being, more or less atrophied. As has been shown by Lisfranc,
the penis can be m