SECT. LVI.—ON ADHESION OF THE PREPUCE TO THE GLANS.

When there has been a previous ulceration about the glans, or prepuce, an adhesion of the one part to the other takes place. We must, therefore, dissect around, as far as may be, endeavouring to separate the adhesion with the point of a scalpel, or of a polypus knife, and more especially to free the glans completely from the prepuce, to which it adheres; but, if this be found difficult, we must rather add of the glans to the prepuce with which it is united, than contrariwise; for the prepuce, being thin, is readily perforated. After the disengagement of the adhesion, a thin cloth, dipped in cold water, is to be placed between the glans and the prepuce, that no adhesion may again take place, and the parts are to be healed with some astringent wine.

Commentary. Albucasis describes the operation in exactly the same terms. (Chirurg. ii, 56.)