. The principles and practice of surgery. with the fingers and thumbs, in the manner illustrated bythe accompanying wood-cut. In casethis does not succeed, and the prepucebecomes much swollen, or cedematous,it will be necessary to relieve the stric-ture by incisions. This will be accom-plished by introducing the point of anarrow bistoury beneath the constrictedportion. In general it will be foundnecessary to divide the stricture atmore than one point, as for exampleupon the dorsal and two lateral the same time the cedematous pre-puce should be relieved by scarifica-tions. It will of
. The principles and practice of surgery. with the fingers and thumbs, in the manner illustrated bythe accompanying wood-cut. In casethis does not succeed, and the prepucebecomes much swollen, or cedematous,it will be necessary to relieve the stric-ture by incisions. This will be accom-plished by introducing the point of anarrow bistoury beneath the constrictedportion. In general it will be foundnecessary to divide the stricture atmore than one point, as for exampleupon the dorsal and two lateral the same time the cedematous pre-puce should be relieved by scarifica-tions. It will often happen, even af-ter complete division of the stricture, and free scarification, that theprepuce cannot be replaced, owing to the inflammatory effusions whichhave infiltrated and imprisoned the tissues. The patient should bethen placed upon his back, while cold-water lotions are diligentlyapplied, and gradually the parts will return to their natural or four days may be required for the complete reposition ofthe Taxis in Paraphimosis. AMPUTATION OF THE PENIS. 799 Epithelioma of the Penis. Syn. Epithelioma Colis, R. C. Epithelioma occurs upon the penis in most cases as minute warty orpapilliform growths, usually situated beneath the prepuce and in thevicinity of the corona. Of eight cases which have been observed byme, five occurred in persons having congenital phimosis. Epithelioma of the penis may be distinguished from a syphilitic wartby the absence of a syphilitic history, by its slow growth and broadbase; and finally by its tendency to ulceration. Venereal warts occurat all periods of life; while cancerous warts are seldom seen except inadvanced life, or after the thirtieth or fortieth year. Venereal warts aregenerally multiple; cancerous warts are almost always single. The only remedy is amputation, in case the glans or the body of thepenis is involved. If, however, the disease is limited to the prepuce,as is very seldom the case, it might be suf
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