e resulting thickening induration
and overconstriction, when, if left alone, the dorsal slitting or the
inferior incision of Cloquet would have previously given satisfactory
results.

The final cosmetic results in the combined Cloquet and dorsal-slit
operation, for instance, depend on, first, properly choosing the case.
One on whom the operation is unadaptable it is useless to attempt it on,
as a future circumcision or tedious and annoying re-operation of
trimming would be required. The next care is to properly cut through all
constricting bands, which, like fine, tough strings, will be found to
encircle the penis. These must be carefully clipped with a fine pair of
strabismus scissors, as these bands do not give way, either then or
afterward, of their own accord, but form the nucleus for stronger
constricting bands for the future. Then you must be sure to cut far
enough back, either above or below, until you have reached where you
obtain the normal and largest calibre of circumference of the penis. The
adaptation of the edges of the parts and the proper application of a
smooth, equal pressure, by means of the lint strap, is of the next
importance; and then comes the strapping of the whole surface for about
an inch and a half back of the corona, which should and must include all
the tissues of the preputial part of the frenum. A neglect or careless
performance of any of the details, or the carelessness of the patient in
not keeping the dressing clean, necessitating its change before the
fourth day, all tend not only to interrupt the union, but to mar the
future cosmetic results as well. It may be asked why all this care and
trouble, and not circumcise at once? As already observed, this operation
admits of the patient following his business; whereas circumcision, on
the male, will assuredly lay him up for four or five days, and perhaps
ten days,--something that many, be they rich or poor, cannot afford, and
will not submit to.

The cosmetic condition of the penis as a copulating organ is a thing of
some importance, and this should not be overlooked; for, although the
particular dimension, shape, or peculiarity of the penile end never
figures prominently in the complaints of women who apply for
divorce,--the charges being everything else under the sun,--it can
safely be assumed that this organ and its condition is the original,
silent and unseen, as well as unconscious power behind the throne that
is at the bottom of th