The method which the author prefers for the abortion of urethritis is the prolonged and systematic irrigation of the anterior urethra with a solution of permanganate of potassium in a strength of from 1 in 10,000 to 1 in 5,000. This should be used as warm as can be comfortably borne by the patient and kept up for one-half or three quarters of an hour at a time, the process being repeated twice daily for three or four days, after which time the treatment should be given once daily for two or three weeks. Care should be taken not to use the water too hot, as destruction of the urethral epithelium may easily be produced; this is a point too often forgotten. The patient may occasionally receive benefit from this same treatment if self-adminis tered by means of the ordinary penis syringe, although irrigation through the short nozzle at the hands of the surgeon is best. Long nozzles for irrigation should not be used. The author has found a short nozzle of his own device to be the most satisfactory of all the irrigating appliances that he has used. The irrigation should be
made by means of the ordinary fountain syringe, care being taken not to have the elevation of the douche bag too great, as injurious pressure upon the urethral walls may be thereby produced. During the continuation of this the patient should be placed upon the usual internal treatment with alkalies, and the usual restrictions regarding diet and exercise should be imposed. It is sometimes advantageous to combine the internal administration of oil of sandal wood with the irrigation method. The author would especially en join caution in the matter of too speedy cessation of treatment. As a rule no discharge will be noticeable after the first twelve or twenty four hours, hence it is very often difficult to convince patients of the necessity of several weeks' careful treatment. Experience shows, however, that unless prolonged treatment be instituted, the develop ment of the disease will be simply retarded, not aborted.