BALANITIS.
Where this is part of a gonorrhoea, will it be necessary to do anything hut inject Permanganate of Potassium (i gr. to 2 oz.) round the glans and also down the urethra, curing both complaints at the same time. If there be much pain and redness, a Lead and Opium lotion applied outside on lint gives relief. Acupuncture is generally had practice. Should there be a chancre or sore or ulcer causing hiemorrhage, one free cut, slitting up the prepuce on its dorsal aspect, should be made, and Lime Water, Sulphate of Zinc (i in oo), Boracic Acid (i in 5o), or Carbolic Oil (i in 15), may be used as a dressing; or Oleate of Zinc or Boracic Ointment may he applied.
Where balanitis comes on in young subjects with long prepuce, as the result of retained secretion, drawing back of the foreskin and thorough cleansing of all discharge several times daily, dusting the part with a powder consisting of equal parts Lapis Calaminaris, Boracic Acid, and Powdered Starch, soon effect a cure. When the disease is very chronic or apt to return, circumcision should be performed, especially if phimosis be present.
Should the inflammation have lasted long enough to produce excoria tions of the membrane lining the prepuce or of the surface of the glans, they should be touched lightly with Nitrate of Silver. Nitric Acid, Carbolic
Acid, or Liquor Hyd. Pernit., and covered with a piece of dry lint inserted between the glans and foreskin. Where the prepuce cannot he drawn backwards, a fine syringe should be used frequently to inject Hydrogen Peroxide Solution or a stream of tepid water„ coloured with Condv's Fluid, between the opposed mucous surfaces. Afterwards a weak Corrosive Sublimate Solution (I in t,000), or Nitrate of Silver (i in too), or Vellow Wash may be injected. If the foreskin can be drawn back, any of these applications may be inserted upon lint and left in situ.
The writer has permanently cured many cases by periodically dilating the prepuce with phimosis forceps or dressing forceps after the subsidence of all inflammatory action, even where the orifice hardly admitted a thick probe. When the stretching is done with patience and care, no pain results, and no inflammation follows this method of treating the acquired phimosis; often the same result may he obtained in the con genital variety.