C H A P. XXVIII.
Of the Operation of the Phimosis and Paraphimosis.
When the Præputium is so streight that the Glans can be no longer uncover'd, this Indisposition is call'd Phimosis; but if the Præputium be turn'd back above the Glans, after such a manner that it can no longer cover the same Glans, it is a Paraphimosis. If in the Phimosis the Præputium cleaves very close round about the Glans, it is most expedient to let it alone; but if in handling the Glans it be perceiv'd that it is moveable, or else that some parts of it only stick together, the Operation may be perform'd after this manner: The Patient being set in a Chair, a Servant is employ'd in pulling back the Skin to the Root of the Penis, to the end that the Incision may be
made directly at the bottom of the Glans: Then the Surgeon having drawn out the bottom of the Præputium, introduceth a small Instrument with a very sharp Point on its flat side, at the end of which is fixt a Button of Wax, pierceth the Præputium at the bottom of the Glans on the side of the Thread, and finisheth the Incision by drawing the Instrument toward himself.
The Paraphimosis is cur'd by making Fomentations on the Part, to allay the Inflammation if there be any; and it is to be pull'd down with the Fingers. But if Medicinal Preparations prove ineffectual, Scarifications are to be made round about the Præputium; and afterward convenient Remedies may be apply'd to remove the Inflammation, and prevent the Mortification of the Part; so that at length the Præputium may be drawn over the Glans.
C H A P. XXIX.
Of the Operation of the Varix.
In order to cure this Tumour, the Surgeon having first cut the Skin to discover the dilated Vein, separates it from the Membranes, and passeth underneath a crooked Needle with a double wax'd Thread; then he makes a Ligature both above and below the dilatation of the Vein, opens the dilated Part with a Lancet, to let out the Blood, and applies a convenient Bandage: But without performing this