eman of twenty-six as to his ability to perform the
marital function. In size his penis and testicles hardly exceeded those
of a boy of eight. He had never felt desire for sexual intercourse
until he became acquainted with his intended wife, since when he had
erections and nocturnal emissions. The patient married and became the
father of a family; those parts which at twenty-six were so much
smaller than usual had increased at twenty-eight to normal adult size.
There are three cases on record in the older literature of penises
extremely primitive in development. They are quoted by the Ephemerides,
Plater, Schenck, and Zacchias. The result in these cases was impotency.

In the Army and Medical Museum at Washington are two injected specimens
of the male organ divested of skin. From the meatus to the pubis they
measure 6 1/2 and 5 1/2 inches; from the extremity to the termination
of either crus 9 3/4 and 8 3/4 inches, and the circumferences are 4 3/4
and 4 1/4 inches. Between these two we can strike an average of the
size of the normal penis.

In some instances the penis is so large as to forbid coitus and even
inconvenience its possessor, measuring as much as ten or even more
inches in length. Extraordinary cases of large penis are reported by
Albinus (who mentions it as a cause for sterility), Bartholinus,
Fabricius Hildanus, Paullini, Peyer, Plater, Schurig, Sinibaldus, and
Zacchias. Several cases of enormous penises in the new-born have been
observed by Wolff and others.

The penis palme, or suture de la verge of the French, is the name given
to those examples of single cutaneous envelope for both the testicles
and penis; the penis is adherent to the scrotum by its inferior face;
the glans only is free and erection is impossible. Chretien cites an
instance in a man of twenty-five, and Schrumpf of Wesserling describes
an example of this rare anomaly. The penis and testes were inclosed in
a common sac, a slight projection not over 1/4 inch long being seen
from the upper part of this curious scrotum. When the child was a year
old a plastic operation was performed on this anomalous member with a
very satisfactory result. Petit describes an instance in which the
penis was slightly fused with the scrotum.

There are many varieties of torsion of the penis. The glans itself may
be inclined laterally, the curvature may be total, or there may be a
veritable rotation, bringing the inferior face above and the superior
face be