canal open at this place. In a
case of this kind an operation on the taliacotian principle might be
tried in order to close the urethra where it presents abnormally patent.

[Illustration]
Plate 57.--Figure 8.

Fig. 9, Plate 57, represents a congenital hypospadias, in which the
canal of the urethra opens by two distinct apertures along the under
surface of the corpus spongiosum at the middle line. A probe traverses
both apertures. In such a case, if the canal of the urethra were
perforate as far forwards as the meatus, and this latter in its normal
position, the two false openings should be closed by an operation.

[Illustration]
Plate 57.--Figure 9.

Fig. 10, Plate 57.--The urethra is here represented as having a false
opening on its under surface behind the fraenum. The perforation was
caused by a venereal ulcer. The meatus and urethra anterior to the false
aperture remained perforate. Part of a bougie appears traversing the
false opening and the meatus. In this state of the organ an attempt
should be made to close the false aperture permanently.

[Illustration]
Plate 57.--Figure 10.

Fig. 11, Plate 57, shows a state of the urethra similar to that of Fig.
10, and the effect of the same cause. Part of a bougie is seen
traversing the false aperture from the meatus before to the urethra
behind. In this case, as the whole substance of the corpus spongiosum
was destroyed for half an inch in extent, the taliacotian operation, by
which lost quantity is supplied, is the measure most likely to succeed
in closing the canal.

[Illustration]
Plate 57.--Figure 11

Fig. 12, Plate 57.--Behind the meatus, and on the right of the fraenum,
is represented a perforation in the urethra, caused by a venereal ulcer.
The meatus and the false opening have approached by the contraction of
the cicatrix; in consequence of which, also, the apex of the glans is
distorted towards the urethra; a bougie introduced by the meatus
occupies the urethral canal.

[Illustration]
Plate 57.--Figure 12.

Fig. 13, Plate 57.--In this figure the canal of the urethra appears
turning upwards and opening at the median line behind the corona
glandis. This state of the urethra was caused by a venereal ulcer
penetrating the canal from the dorsum of the penis. The proper direction
of the canal might be restored by obliterating the false passage,
provided the urethra remained perforate in the direction of the meatus.

[Illustratio