ade nearly to disappear into the pubes; so that we are
not as helpless in these cases as our text-books would have us believe.

In infants, and in young children below the age of ten or twelve, the
Jewish operation, as modified and done in accordance with the dictates
of modern surgery, will be found the most expedient. By this method we
avoid the need of any anaesthetic agents, which are more or less
dangerous with children, as well as the need of sutures, which are
painful of adjustment and very annoying to remove in those little
fellows who dread new harm; there is also much less risk of
haemmorrhages, as the frenal artery is not wounded. In children of a year
or over, a very good result will be found often to follow Cloquet's
operation, care being taken to carry the slitting well back, as well as
care in taking it on one side of the frenum, so as to avoid any wound of
that artery, the subsequent dressing being a small Maltese-cross
bandage, pierced so as to admit the glans to pass through; the prepuce
is retracted and the tails folded over each other and held there by a
small strip of rubber adhesive plaster; a little vaselin prevents the
soiling by urine underneath. This last operation is short and very
easy, is not painful, nor does it require much manipulation; it is only
one quick cut on the grooved director and it is over; by the retraction
of the prepuce, the longitudinal cut becomes a transverse one, making
the prepuce wider and shorter at once; the glans soon develops and
remains uncovered. As there is a very small wound to heal over, the
repair is very prompt.

In adults with a very narrow, thin, not overlong prepuce, a very good
result often follows a combination of the dorsal slit with the inferior
slit alongside of the frenum of Cloquet. The narrower and tighter the
prepuce, the better the result, as the cuts are at once converted from
longitudinal into transverse wounds, and the organ at once assumes the
shape and condition of a circumcised organ, without having suffered any
loss of substance; three stitches or sutures in each cut (silver or
catgut) adjust the cut edges; a small roller of lint and adhesive
plaster, placed so as to shoulder up against the corona, completes the
dressing. Where this operation is practicable, by the thinness and
narrowness of the prepuce, it has many advantages. I have repeatedly
performed it on lawyers, book-keepers, clerks, and even laboring men,
who have gone from the o