WITH THE COMPLIMENTS OF THE AUTHOR. 
THE PRESENT STATUS OF ELECTROLYSIS 
IN THE 
TREATMENT OF URETHRAL STRICTURES. 
With Statistics of One Hun cl re cl Cases (Third Series). 
BY 
ROBERT NEWMAN, M.D., 
new YtnnW 
FELLOW AMERICAN ELECTRO - THERAPEUTIC ASSOCIATION; CONSULTING 
SURGEON TO HACKENSACK AND BAYONNE HOSPITALS; CONSULTING 
PHYSICIAN TO HOME FOR AGED AND INFIRM, YONKERS; 
HONORARY MEMBER ULSTER COUNTY MED- 
ICAL SOCIETY, ETC. 
A Paper read at the Second Annual Meeting of the American Electro- 
Therapeutic Association, held at New York, October, 1892. 
Reprinted from " The Journal of the American Medical Association," 
April 15,1893. 
CHICAGO: 
PUBLISHED AT THE OFFICE OF THE ASSOCIATION. 
1893. THE PRESENT STATUS OF ELECTROLYSIS IN THE 
TREATMENT OF URETHRAL STRICTURES, 
WITH STATISTICS OF ONE HUNDRED 
CASES (THE THIRD SERIES). 
BY ROBERT NEWMAN, M.D., 
of new YornT"'"' 
As a further contribution to electrolysis in the successful 
treatment of urethral strictures, there is presented here- 
with the statistics of one hundred more cases, as a third 
series, making in all, with the two previously reported by 
the writer and published, three hundred cases. 
There are no new developments to offer, but the results 
of the cases now presented confirm former statements that 
electrolysis, scientifically applied, is absolutely successful 
in the treatment of strictures of the urethra. 
Electrolysis rests on fundamental laws of physics and 
chemistry so well established, that if applied accordingly, 
failures in the treatment are impossible. In that sense, it 
is reasserted that electrolysis per se cannot fail, while it is 
admitted that ultimate success in a certain case may be 
prevented in different ways, namely : unforeseen complica- 
tions, imperfect instruments, negligence of the operator, 
wrong diagnosis, and the actions of the patient. Failures 
consequent upon the unskilful manipulation on the part of 
those who are unqualified, are only the natural effects of 
causes, and as there exist so many such causes, it is a wonder 
that more failures have not been recorded. The writer has 
practiced this method of electrolysis successfully for oyer 2 
twenty-three years, and has already described the modus 
operandi and instruments, and laid down rules minutely for 
the operation. It is unnecessary, therefore, to recapitulate 
them again. The leading features for the operation being 
that the constant current of galvanism only must be used, 
always applying the negative pole to the seat of the stricture, 
using only weak currents of from three to five milliampbres, 
stances lasting not more than from five to ten minutes, with 
intervals of about one week or longer. Only one instrument 
should be used at each stance, and t he operation ought never 
to be attempted while the mucous membrane is in a state 
of inflammation. The patient's strength should not be 
overtaxed, and gentleness prevail throughout the whole 
operation. As a matter of course, only the best instruments 
should be selected and used. 
The advantages of electrolysis over other operations are 
confirmed by the new cases now presented, namely: 
1. That it is applicable to all strictures in any part of the 
urethra. 
2. That it will pass and enlarge any stricture when other 
instruments or the skill of the surgeon fail. 
3. That it causes no pain or inconvenience. 
4. It is devoid of danger. 
5. It is not followed by haemorrhage, fever, or any other 
unpleasant consequences. 
6. It relieves at once. 
7. The patient is not prevented from attending to his 
business while under treatment, and is without restraint; 
and 
8. No relapse takes place. 
The electrolytic method may not for some time become 
so popular that every general practitioner will use it, since 
it needs, beyond skilfulness, great patience, gentle touch, 
good instruments, and electric apparatus in perfect order, 
also the qualifications of a master electrician and genito- 
urinary expert. 
Electricity, and electrolysis in particular, have had many 
skeptics and adversaries, but who now, in this progressive 3 
age of science and civilization, have dwindled down to a 
few unreasoning ones, while the converts are legion ; and 
the status has changed to a better appreciation of the 
method, and is acknowledged as a success, so that scarcely 
any opposition or doubt exists. It seems that the enemies 
of the system are reduced almost to a single individual, 
who has resorted to such doubtful and dishonest methods in 
decrying electrolysis, that it assumes the appearance of 
personal malice, rather than a truthful and dignified scien- 
tific resume. One of these ingenious methods is to throw 
doubt upon documentary evidence proving the success of 
electrolysis. In the year 1885 a physician made a written 
statement of a case which was published. With apparent 
design, after the death of this physician, and after a lapse 
of about four years from the date of the letter, a polite note 
is written to this physician by a critical adversary, asking 
him the date of the treatment, etc. This polite note, as was 
expected, was as politely returned by the postmaster, who 
evidently declined to assume the responsibility of forward- 
ing it to its destination, and the investigator closed his report 
with the triumphant words, "the inference is obvious." At 
another time he reports (as his duty as an editor required), 
some cases treated successfully by electrolysis by an emi- 
nent physician in London, ending with the exclamation, 
" the burning question again ! " Such insinuations and mis- 
representations show very clearly on their face, without any 
" obvious inferences," the unworthy motives of an unsuc- 
cessful operator who, as an editor, while reporting success- 
ful operations by electrolysis, closes such reports with a 
captious, seemingly intended to be a skeptical and mislead- 
ing criticism. 
But while we have still to contend with this exceptioual 
case of wilful or ignorant misrepresentations, it is a pleasure 
that the cases which are herewith submitted confirm those 
already reported, and establish beyond doubt the success 
of the treatment. This success, summarily, is proved 
by: 
1. Reports of thousands of successful cases by different 4 
> o> 
trustworthy writers, to which the writer has contributed 
and published three hundred. 
2. Patients who have during many years been observed, 
re-examined, and can bear testimony of permanent results. 
3. Acknowledgments by the medical press, journals and 
modern text-books; and 
4. Documentary evidence, which has never been concealed 
from those desiring an honest examination, and is always 
open to inspection, and can be substantiated by reference 
to most of the patients themselves, or to their family phy- 
sician or friends. 
It is a pleasure to re-ailirm all previous statements here- 
tofore made, despite adverse criticism, and to welcome an 
investigation of stubborn facts which do not yield to "obvi- 
ous inferences," but whose convincing truth is established 
by honest, careful and judicious investigation. 
These 100 cases, numbered 201 to 300, make 300 cases pub- 
lished by the writer. 
In the selection of each series is a little difference. The. 
first 100 cases were reported to the American Medical Asso- 
ciation in Cleveland, 1883.1 
The principal feature was, to show that no relapse of the 
malady occurred after the stricture had been cured by 
means of the electrolysis. As the meaning of the word 
"cure" may be interpreted by some differently than by 
others, it will be more explicit by defining the meaning, viz.: 
no contraction of the calibre of the urethra took place, and 
after the patient had been dismissed as well, to his own 
satisfaction, the same number of sound or catheter which 
was used the last time in treatment would easily pass, after 
a year or even many years. These 100 cases were naturally 
not consecutive cases, but collected from consecutive cases 
for the purpose, and had to meet the following conditions: 
1. The patients being under treatment regularly, and for 
a reasonable time ; 2, that they were to be discharged cured, 
SUMMARY. 
i Journal American Medical Association, April 25,1885; New England 
MedicaJ Monthly, August, 1885. SYNOPSIS OF THE THIRD HUNDRED STRICTURE OF THE URETHRA TREATED BY ELECTROLYSIS. 
tabular statistics. 
Number. 
Patients' Initials, 
Residence, Date of 
First Visit. 
Age-Years. 
Cause, Duration, 
Complications 
of Stricture. 
I No. of Strict- 
ures found. 
Distance 
from 
Meatus. 
Inches. 
Size of Strict- 
ure. 
Fr. Scale-No. 
5r/- 
P C 
K K 
> x 
S 7 
Treatment. 
Sequel and Calibre 
of Urethra when 
Discharged. 
French 
Scale No. 
Last Heard From 
After Treatment. 
Time of i 
Observation 1 
After Dis- 1 
charge 
M'ithout 
Relapse. ' 
Average 
Intervals- 
Days. 
Time of. 
201 
M. G. F„ N. Y. C. 
41 
urethri- 
4 
2, 4, 5,6 
12 
15 
10 
5 mos . . 
Urethra enlarged to 
1890, March 27 . . . 
3 years. 
1887, March 23 . . . 
: tis for 7 years; im- 
No. 28 
20i 
E. G. B., Albany 
Strictures for 20 yrs 
3 
2kz, 414, 
18 
8 
14 
4 mos . . . 
Urethra enlarged to 
1892, March 30 . . . 
5 years. 
1887. March 26 . . . 
' Prostate enlarged 
3, 
« 
No. 32 
1888, March 
203 
J. W. R., Oregon 
35 
Urethritis; 15 years 
3 
11 
4 
5 
4 wks . . . 
Improved to No. 23; 
1 year. 
1887, March 31 . . . 
spinal irritation. . 
2, 4, 6 
left for home . . . 
N.B.-Former inju- 
204 
E. S. E., N. Y., 1887 
32 
Urethritis; 3 years 
bungling electroly- 
i sis; peri-urethral 
3 
6 
7 
8 
2 mos . . . 
Improved to No. 17; 
May 
very little progress. 
dicious electric 
Withdrawn .... 
treatment has in 
abscess 
jured the case. 
205 
C. C. W., Chicago 
48 
Urethritis, charac- 
3 
5, 6, 7 
18 
2 
op'd while 
In two stances, en- 
1890, June; through 
family physician . 
3 years. 
1887. J urie 9 . . . . 
ter unknown, 8yrs 
3, 
in Chicago 
larged to No. 23 
206 
8. H. IL, N. Y. C., 
Prolonged urethri 
2 
18 
20 
8 
5 mos . . . 
Urethra enlarged to 
Re-examined Jan. 8, 
2 years. 
1887, July 
tis, 2 yrs. Urethrot- 
No. 32, Fr 
'89; well . 
207 
W. G. C., Ulster Co., 
23 
omy 
Strong injection, 3 
4 
4, 5, 6,7 
0 
15 
12 
6 mos . . . 
Urethra enlarged to 
Heard from him and 
4 years. 
1887, July 27. . . . 
years 
No.26, Fr. The limit 
family physician; 
of meatus 
is well 
20b 
W. M. H„ St. Louis, 
32 
Long continued 
2 
3,4 
17 
7 
9 
2 mos . . . 
Calibre enlarged to 
Re-examined with 
1 year. 
18a7, August 19 . . 
urethritis; gleet; 4 
No. 28, Fr 
No. 28, Sept., '88: 
years 
3, 4, &y2 
well 
209 
G. R. B„ N. Y. C., 
40 
Gleet, 3 years . . . 
3 
15 
8 
8 
2 mos . . . 
Enlarged to 26, limit 
June, '92, well; no 
5 years. 
1887, Aug. 24 ... . 
3, 5, 6 
of meatus. Well . 
relapse 
210 
R. 8. 8., New Haven, 
2-1 
One year, prolonged 
3 
17 
6 
14 
3 mos . . . 
Enlarged to 28. Nor- 
Re-examined Sept. 
1 year. 
1887, Aug. 29 ... . 
urethritis 
6 wks . . . 
mal calibre 26. Well 
5, '88 
Re-examined Octo- 
ber 16, '88; well . . 
211 
M. H. M.. New Ha- 
23 
Urethritis, gleet; 2 
2 
5,7 
18 
4 
12 
Enlarged to No. 25 
1 year. 
ven, 1887, Aug. 29 . 
years 
Fr., size of meatus. 
Married and well . 
212 
E. 8. G., Tenn., 1887, 
42 
Prolonged urethri- 
2 
3,5 
23 
8 
10 
3 mos . . . 
No. 27 Fr. Well . . 
Re-examined Aug. 
5 years. 
March 27 
tis, 10 yrs.; prosta- 
titis, cystitis . . . 
11, '91; well .... 
21b 
W. 1). C„ N. Y. C„ 
53 
Inflammation, trau- 
a 
(), / 
4 
5 
12 
2 mos . . . 
Improved; 14; gone 
Oct. 23, '89; written 
2 vears. 
1887, October 2 . . 
matism, bladder 
west 
that he felt great 
over-distended; 5 
relief 
214 
.1. C.. New Orleans, 
27 
Strong injection, 
1 
7 
0 
10 
8 
2k mos . . 
Enlarged to 26; gone 
Not heard from. 
1887, Oct. 5 
urethrotomy, 2 yrs. 
to N. Orleans; well 
215 
J. M. D., Indianapo- 
60 
Not known; enlarg- 
I 
5 
20 
3 
4 
2 wks . . . 
Improved to 26; con- 
Not heard from. 
I is, 1887, Oct. 19 . . 
ed prostate, 4years. 
Meatus 
tent and gone home 
216 
I). T. H., Newark, 
50 
Balanitis; cicatrix 
1 
18 
5 
7 
1 mo. . . . 
No. 27; well .... 
February, '92; re- 
6 years. 
1886, Aug. 1 . . . . 
after porotomy, 3 
months 
examined; well . 
217 
H.T., Brooklyn,1887, 
Strong injection; 
3 
2,4,6 
8 
25 
10 
9 mos . . . 
No. 21; improved; 
1890, relapse .... 
Failure. 
Oct. 30 
druggist's mistake; 
traumatism.; 6mos. 
temporary; failure 
218 
T. B., Charleston, 
24 
Urethritis; ureth 
2 
6, 7 
20 
4 
7 
1 mo. . . . 
No. 28; well .... 
'92, physician re- 
5 years. 
1887, Nov. 15 . . . 
rotomv ; 6 years . . 
ports well 
219 
R.W.G., Bloomfield, 
46 
Strumous i n fl a m - 
1 
4 
7 
5 
6 
1 mo. . . . 
Imp'd, 20; Dr. Wile 
'92, saw patient; Dr. 
4 years. 
N. J., 1888, Jan. 30 . 
mation; ulcers, 2 
continued treatm't 
Wile reports well . 
220 
1. T. K., Blairsville, 
37 
Urethritis prolong- 
1 
4 
17 
6 
7 
Ik mos . . 
Enlarged to 28; well 
Not heard from. 
Pa„ 1887, Nov. 16 . . 
ed ; orchitis, 11 yrs. 
Not heard from. 
221 
C. D. B. N. Y. C„ 
47 
Gleet, 20 years . . . 
2 
5> 3% 
12 
7 
8 
2 mos . . . 
Enlarged to 28; well 
1887, Nov. 23. . . . 
2>2, 5j'a, (i'/2 
20 
Re-examined twice, 
222 
A. 1.. B„ N. Y. C., 
50 
Traumatic rupture 
3 
7 
Irreg- 
3 mos . . . 
Enlarged fcj 28; well 
1 year. 
1887, Nov. 28 . . . 
of urethra, 17 years 
16 
ular. 
Nov., '88 
223 
J. B„ Philadelphia, 
35 
Traumatic bungling 
1 
7 
0 
13 
Irreg- 
4 mos . . . 
Enlarged to 25; well 
'90, by letter; reports 
well 
2 k years. 
1887, Dec. 14 . . . 
electrolysis, 7 yrs . 
17 
ular. 
2 wks. . . 
224 
R. J., Colchester. 
50 
Traumatic reten- 
1 
7 
2 
14 
Imp'ved to 20; could 
'88, July : 
> months. 
Conn., 1887, Dec. 14 
tion, cystitis, orchi- 
tis, 3 years .... 
not come again . . 
'89, February 13; re- 
225 
28 
Gleet continuous for 
2 
3, 5 
17 
6 
8 
2 mos . . . 
Enlarged to 28; well 
1 year. 
1887, Dec. 30 ... . 
2 years 
examined 
226 
Dr. J. S. C„ N. Y. C., 
47 
Innammation, 
2 
3, 5 
21 
8 
7 
2 mos . . . 
Enlarged to 32; well 
Re-examined, '92 . . , 
4 years. 
1888, Jan. 3 . . . . 
ureth rotomv, 10 yrs. 
and married . . . 
Re-examined, Mar. 
227 
A. D., Greenville, N. 
49 
Gleet, 2 urethrbto- 
2 
21 
5 
Irreg- 
3 mos . . , 
Enlarged to 30 . . . 
2 years. 
J., 1888, Feb.3 . . . 
mies, 10 yrs. ... 
ular. 
14,'90 
22b 
J. D., N. Y. C., 1888, 
46 
Gleet, retention, 
urethrotomy,17 yrs. 
2 
4'4,5>4 
8 
14 
11 
4 mos . . . 
Improved to 27; pa 
tient was transferre 
d and spirited 
Feb. 6 
away by a surgeon. 
Re-examined, Octo- 
229 
F.S.B., Hackensack. 
23 
Urethritis, 1 year . 
1 
5 
17 
6 
14 
3 mos . . . 
Enlarged,28; well . 
4k years. 
N. .1., 1888, Feb. 13 . 
ber 4, '92 
230 
J. G. Topeka, Kan- 
36 
Urethritis, 2 years . 
2 
b 
18 
2 
8 
1 wk. . . . 
Improved, 25. . . . 
'89, March, No. 25 
passed 
'89, Intercutrent 
1 year. 
sas, 1888, Feb. 27. . 
231 
R. L. U, N. Y. C„ 
35 
Strong injections, 5 
2 
2,'4,6S 
9 
12 
Irreg- 
4mos . . . 
Little improved to 
1880, March 4 . . . 
years; nervous 
ular. 
17; patient absent- 
sickness; no mate- 
p r o s t r a.t ion and 
ed himself .... 
rial success. 
232 
G. B. C., Montreal, 
54 
spasm 
Traumatism, pros- 
3 
3>4, 6k 
17 
7 
7 
6 wks . . . 
Enlarged to 25; is 
'91, by family phys- 
I years. 
1888, March 30 . . . 
tatitis, cystitis. 
Urethrotomy, 7 yrs. 
well 
ician 
Not heard from. 
233 
A. J. S., Brooklyn, 
1888, April 2 . . . . 
V. 8. N.. N. C., 1888, 
60 
Unknown; cystitis, 
prostatitis, 10 yrs. 
Traumatism, 10 yrs. 
1 
3 
20 
a 
7 
1 mo. . . . 
Improv'd to 25; gone 
234 
40 
3 
2k. 4k, 5k 
15 
8 
6 
Ik mos . . 
south 
Enlarged to 25; gone 
'91, by letter ..... 
3 years. 
April 27 
Urethrotomy . . . 
home 
'82, September, re- 
235 
C. 11. IL, N. Y., 1888, 
34 
Gleet, prolonged, 5 
2 
4,5 
11 
6 
6 
1 mo. . . . 
Enlarged to 2 >; well 
4 years. 
A 
pri!30 
years 
Enlarged to 28; well 
examined 
4 years. 
236 
G. T.. N.Y. C., 1888, 
39 
Gleet, spasm, 8 yrs . 
2 
3k, 5 
6 
15 
Irreg- 
'92,Jan.; re-exam'd; 
May .2 
ular. 
well; also 90 & '91. 
237 
C. S„ N. Y. C„ 1888, 
70 
Inflammation, re- 
2 
4'2.6k 
17 
6 
10 
2 mos . . . 
Enlarged to26; capa- 
Re - examined, '89; 
Ik years. 
M ay 14 
tention, enlarged 
city of meatus ;well 
Sept. 9 
238 
G. L., Florida, 1888, 
26 
prostate, 6 yrs . . . 
Urethritis, epididy- 
2 
4k, 5k 
21 
3 
5 
10 days . . 
Enlarged to 28; gone 
Not heard from. 
May 18 
mitis, 1% years . . 
home 
Life ins. phys. accep 
ts and finds no 
239 
Dr. E. H.. Brooklyn, 
48 
Gleet, 8 years . . . 
2 
3k, 5k 
18 
6 
10 
2 mos . . . 
Enlarged to 28; well 
1888, Mav 21 ... . 
Re-ex'd, '90, Dec. 17; 
[stricture. 
240 
J. T. M„ N. Y. C., 
52 
Gleet, 12 yrs. Ureth- 
3 
3,k, 5k, 7k 
20 
Irreg- 
Enlarged to 25; well 
'92, February, re-ex- 
4 years. 
1888, May 19 ... . 
rotomy 
ular. 
amined 
2 years. 
241 
J. Z. A., Hackensack, 
24 
Urethritis and in 
2 
3,5 
11 
8 
7 
2 mos . . . 
Enlarged to 25; ca- 
Re-examined, '90, 
1888, May 26 .... 
flammation, 9 mos. 
pacity of meatus . 
Enlarged to 25 . . . 
May 20 
242 
W. A. M., Redbank, 
43 
Strong injections; 
2 
3,5 
9 
11 
8 
3 mos . . . 
Saw patient off and 4 years. 
1888. June 19 . . . . 
31 
20 years 
on to ya; is wen . 
4 years. 
24slDr. R. W„ N. Y. C., 
Urethrotomy; no 
1 
3k 
21 
2 
2 mos . . . 
No. 25 passed easy . 
Saw patient often; 
1888, July 21. . . . 
venereal disease; 1 
is well . 
244 
M. B. M„ City, 1888, 
45 
year 
Urethritis; 10 years. 
1 
3k 
25 
8 
7 
2 mos . . . 
Enlarged to 30; is 
'89, July 19; re-ex- 
1 year. 
Julv 25 
well 
amined 
245 
E. B\ N. Y. C„ 1888, 
23 
Urethritis; 5 years . 
4 
%4,4%,5k 
11 
7 
7 
2 mos . . . 
Enlarged to 25 . . . 
Heard from off and 
3 years. 
Aug. 14 
on 
246 
J. IL, Rahway, N.Y., 
28 
Urethritis; 2 years; 
1 
0 
15 
6 
7 
Ik mos . . 
Enlarged to No. 28 . 
Not heard from. 
1888, Sept. 1 . . . . 
urethral abscess; 
cvstitis 
Not heard from. 
247 
A. C., N. Y. C., 1888, 
31 
Gleet, prolonged, 8 
1 
4 k 
20 
4 
7 
1 mo. . . . 
Enlarged to 25; pa- 
N ov. 3 
years 
tient left content . 
248 
H. R. C., N. Y., 1888, 
52 
Inflammation; 3 0 
o 
3, 5,7 
0 
6 
7 
Ik mos . . 
Much imp. to 24 ; pa- 
Not heard from. 
Sept. 23 
years 
tient feels too well 
249 
T. M„ N. Y. C., 1888, 
26 
Granular urethritis, 
1 
large cali 
bre. 
Tre 
ate d 
No. 27 passed size of 
'91, May, rc-exam- 
ined 
2k years. 
Sept. 25 
gleet; 6 years . . . 
also per en 
dosco 
25 
pe. 
Irregu 
lar .... 
meatus; is well 
250 
L. B„ N. Y. C., 1888. 
36 
9 years; urethroto- 
1 
3 
6 
15 
3 mos . . . 
No. 32 passed easy; 
Re-examined, 1891, 
2k years. 
Oct. 11 
my 
is well 
Feb. 20 
251 
Dr. A. W., Iowa, 1888, 
37 
Retention; cerebro- 
1 
6k 
20 
4 
7 
1 mo. . . . 
No. 28 -passed easv; 
Not heard from. 
Oct. 30 
spinal meningitis; 
is well 
12 vears 
Re-examined, No. 
30, '91, May 14 . . . 
Re-examined, '89, 
252 
R. M. C.,Texas, 1888, 
52 
Urethritis, gleet; 32 
4 
Ik,2k,1,6} 4 
21 
6 
10 
2 mos . . . 
Enlarged to No. 30; 
2k years. 
Nov. 10 
vears; urethrotomy 
well; gone home . 
253 
F. S„ N. Y. C., 1888, 
24 
Urethritis; strong 
2 
Ik, 5 
It 
7 
Irreg- 
4 mos . . . 
Enlarged to No. 28: 
1 year. 
Nov. 28 
injections; yrs. 
ular. 
well 
October 
254 
H. J., Brooklyn, 1888. 
26 
Gleet; 1 year .... 
3 
2%, 4, 5k 
6 
Irr 
eg. and 
Relapses in inter- 
'90, August, seen bv 
Dec. 16 
Gleet; 16 years; 
in 
Ion 
gin ter 
vals . . . 
vals; improv'd to 2C 
Dr. Waite 
255 
K. B. M., Brooklyn, 
39 
1 
5k 
17 
5 
7 
1 mo. . . . 
Enlarged, No. 28 . . 
Not heard from. 
1888, Dec. 22 .... 
urethrotomv . . . 
256 
J. II. 11., Troy, 18S8, 
39 
Gleet, 16 years ; 
2 
2k, 5 
13 
7 
7 
Ik mos . . 
Improved to 26. Mea- 
Not heard from. 
Dec. 29 
spasm of bladder . 
tus full capacity . 
257 
C.A.P.,N.Y.C.,1889, 
36 
Urethritis, caustics: 
2 
1,5 
6 
5 
6 
1 mo. . . . 
Imp. to 25: much as 
Dr. McLaury reports 
him well, '92, Sept. 
3k years. 
Jan.4 
7 months; cicatrix 
of meatus 
meatus will permit 
258 
G. P., West Indies, 
33 
Neglected in flam- 
2 
4, 6% 
14 
4 
3 
1 mo. . . . 
Imp. to 23; patient 
'90, June, not worse. 
1 year. 
1889, Jan. 15 ... 
mation; 3 years' 
content, ana went 
congenital phymo- 
sis, with adhesions. 
11 
to sea 
259 
J. W. S., sprankles, 
23 
Gli et, orchitis; 4 
1 
6 
23 
3 
10 
1 mo. . . . 
Enlarged to No. 30: 
'91, March, by letter 
2 years. 
Pa., 1889, Jan 19 . . 
vears 
stricture cured . . 
260 
C. F. H„ N. Y. C.. 
31 
Gleet; caustics; 3 
1 
3 
20 
6 
Irreg- 
3 mos . . . 
Enlarged to 28; ca- 
Re-examined last. 
1 vear. 
1889, Jan. 21 ... . 
years . 
ular. 
pacity of meatus . 
Feb. 17, '90; well . 
Not heard from. 
261 
W. E. N„ City, 1889, 
39 
Gleet; urethrotomv; 
2 
3,6 
8 
7 
8 
2 mos . . . 
Improved, No. 25 . . 
Jan. 21 
9 years .... 
262 
A. C.,City, 1889, Jan. 
27 
11 
Cystitis, prostatitis; 
no venereal dis 
ease; 9 months . . 
Strong injection; 6 
3 
2, 5, 8 
20 
6 
12 
2' mos . . 
Improved, No. 25 . 
'90, February .... 
1 year. 
263 
A. C. B„ N. Y. C„ 
27 
1 
K 
13 
6 
7 
Ik mos . . 
Enlarged to No. 28 . 
Re-examined, '90, 
One and one- 
1889, Feb. 3 . . . . 
months 
June 14; well . . . 
half vears. 
264 
D. M. L., New Haven, 
17 
Not well known; 10 
1 
20 
4 
7 
1 mo. . . . 
Enlarged to No. 25 . 
Re-examined Feb 
3 years. 
1889, Feb. 26 ... . 
years 
13. '92; well . . . . 
Gone South; not 
265 
J. W. F., Savannah, 
1889, March 2 . . . 
33 
Neglected inflam- 
3 
3, 5, 7 
11 
7 
7 
Ik mos . . 
Enlarged to No. 28 . 
mation, 15 yrs . . . 
heard from .... 
266 
Dr. G. P. H„ Galves- 
36 
Nervous disease: 
1 
3% 
20 
4 
5 
1 mo. . . . 
Enlarged to No. 28: 
Doctor wrote he had 
1 year. 
ton, 1889, March 2 . 
inflammation; 9 
utmost capacity of 
no relapse 
years ........ 
meatus 
267 
Dr. F. B. G., N. Y.C., 
II 
Organic cartilagen- 
2 
3,5% 
15, 0 
16 
8 
4 mos . . . 
Enlarged to No. 28; 
Dr. says he can pass 
1 year. 
1889, March 13 . . . 
ous stricture; 24 
years 
well ........ 
28 easy; Ju.,'90,well 
268 
G. M„ N. Y. C.. 1889, 
May 6 
51 
Gleet, 6 years . . . 
1 
5 
18 
7 
9 
2 mos . . . 
Enlarged to No. 28; 
No. 28, well; re-ex- 
amined '91, Apr. 16 
Family physical re- 
ports'well, '91, Jure 
2 years. 
well 
269 
A. B„ Bayonne, 1889, 
11 
Neglected urethri- 
3 
3, 5,6 
5 
10 
I rregu 
lar .... 
Enlarged to 28; well 
and married . . . 
2 years. 
June 2 
tis,23 years; ureth- 
rotomy 
Re-examined, No 
270 
U.A.A., Boston, 1889, 
32 
Traumatism, 5 yrs . 
2 
2k, 5k 
20 
5 
8 
Ik mos . . 
Enlarged to No. 28: 
2 years. 
June 29 
well 
28, well, '90. Sept. 2C 
271 
B. R., Hackensack, 
24 
No venereal disease. 
1 
4 
4 
5 
7 
Imo. . . . 
Enlarged, No. 25 . . 
Heard from .... 
One-half year. 
1889, June 22. , . . 
Cvstitis, recent . . 
272 
M. J. T„ N. Y. C„ 
36 
Strong injections; 8 
2 
2,4 
14 
11 
Irregular . . . 
Enlarged to 26; gone 
Re-examined 1891, 
One and one- 
1889, Sept. 12 .-. . 
years; prostatitis . 
Traumatic, 15 yrs. . 
to St. Domingo . . 
July, 
half vears. 
273 
D. D. B., Montreal, 
31 
2 
3,5k 
6 
4 
5 
kmo. . . 
Improved to No. 21: 
His phys n reported 
One and one- 
1889, Sept. 15 ... . 
gone home .... 
well, '91, February. 
'92, Sept. 23, reports 
half vears. 
274 
C. II., Croton. 1889 
47 
Inflammation; cys- 
3 
2, 4, 5 
11 
Irr 
egular 
g in ter 
and in 
Improved, No. 20 
3 years. 
Sept. 20 
this; 10 vears . . . 
ion 
vals . . . 
well 
275 
E. L. T., N. Y. C., 
1889, Sept. 28 . . . . 
33 
Strong injections; 4 
2 
2, 4k 
21 
4 
9 
1 mo. . . . 
Enlarged to No. 26; 
Re ex.,'90, Jan. Seen 
'92, Sept. 6; well . . 
3 years. 
years 
is content 
276 
Cha. IL, Brooklyn. 
18 
Strong injection; 30 
2 
3,4 
23 
4 
7 
I mo. . . . 
Enlarged to No. 30: 
Re-examined 1892, 
Two and one- 
1889, Nov. 21 ... . 
vrs.; urethrotomv, 
well 
April 2 
half vears. 
277 
U.S.. N. Y. C., 1889, 
20 
Gleet; years . . 
1 
4 
21 
4 
14 
2 mos . . . 
Enlarged to No. 26; 
Friends report him 
2 vears. 
Dec. 11 
endoscope, etc. . . 
well, 91. Nov.. . . 
278 
Dr. H. H„ Brooklyn, 
39 
Gleet, 5 years . . . 
1 
4k 
22 
6 
7 
2 mos . . . 
Enlarged to No. 30; 
Re examined, well: 
1 year. 
1889. Dec. 22 .... 
well 
'91, March 
279 
J. R. P„ 1890, Jan. 
37 
Strong injections; 4 
2 
2k, 6 
21 
7 
9 
2 mos . . . 
Enlarged to No. 28; 
Not heard from. 
16 
years 
well 
Re-examined, 1891. 
280 
E. B. D., Wisconsin. 
40 
Urethritis; prostati- 
2 
1%, 4% 
9 
10 
9 
3 mos . . . 
Enlarged to No. 28; 
1 year. 
1890, March 21 . . . 
tis ; 2 vears .... 
well 
April 
281 
N. P. S„ Woodstock, 
36 
Inflammatory dis- 
2 
2k, 4k 
Fili- 
4 
18 
2 k mos. . 
Improved. No. 20: 
Prevented f r'm com- 
1890, March 29 . . . 
charges; 3 years . 
Inflammations; un- 
form 
■ 
gone home . . . 
Ing again to N. Y. 
282 
E. R., Dallas, Tex., 
1890, May 12 ... . 
50 
1 
6k 
12 
8 
6 
Ikmos.. . 
Enlarged to No. 28; 
is well .... 
Not heard from. 
certain cause; 20 
years: prostatitis . 
By family physician, 
One and one- 
283 
A. L. B.. Bayonne, 
48 
Gleet; 3 years : pros- 
1 
7k 
17 
7 
8 
2 mos . . . 
E n 1 arged to No. 28; 
is well ... 
1890, September . . 
tatitis 
'92. March 
half vears. 
281 
J. M. L., Watertown, 
75 
Inflammation; cys- 
2 
17 
6 
At long 
intervals . 
Much improved; 26: 
By letter, well, 1892. 
1 year. 
18! 0, Oct. 9 
litis; retention; 15 
vears 
1 year 
left for home . . . 
285 
L. S. W„ City, 1890, 
7.3 
Gleet, retention. 
2 
5,6' | 
14 
4 
' 7 
I mo. . . . 
Much improved and 
Not heard from. 
Oct. 11 
prostatic hypert.ro- 
prostate, reduced . 
■286 
J. IL, Texas, 1890, 
24 
phy, 12 years . . . 
Urethritis, urethral 
1 
8 
8 
8 
2'., mos . . 
Enlarged to No. 28; 
Re-examined, 1892, 
1 year. 
Jan.3 
fistula, 7 vears 
well 
April 15 
287 
W. B. T„ White 
48 
Urethritis, cystitis, 
2 
2,7 
17 
12 
J rregu 
lar for*- 
Enlarged to No. 28: 
Re-examined, 1892. 
1 year. 
Plains, 1891, Jan. 15. 
20 yrs 
4 months . 
well 
Mav 18 
288 
W. H. S„ N. Y. C.. 
17 
Gout, urethritis, cvs 
2 
2' J, 5'., 
17 
11 
Irregu- 
5 mos . . . 
Meatus wont admit 
Seen off and on; is 
well, '92, March . . 
1 year. 
1891, Jan. 22 ... 
this,2 vears . . . . 
lar 
larger than 24; well 
289 
T. B„ Roanoke, 1891, 
41 
Strong injections, 1 
2 
2'4,5k' 
22 
3 
5 
2 wks . . . 
Enlarged to No. 28 . 
Written is well, '91, 
10 months. 
Feb.7 
year 
Dec. 4 
290 
.1 P., Katonah, 1891, 
29 
In fl am mation,cause 
1 
6% 
large 
5 
12 
2 mos . . . 
No. 28 passes easv . 
Re-examined, Sept. 
One and one- 
Feb. 25 . . 
uncertain, 6 mos. . 
cali 1 > 
re 
2. '92 
half vears. 
291 
F. H. S„ 1891, March 
46 
Gleet continued 10 
Q 
3,5 
17 
8 
7 
2 mos . . . 
27. utmost capacity 
Not heard from. 
9 
years 
of meatus; well . 
292 
H. N. P„ N. Y. C., 
1891, March 31 . . . 
31 
Gleet, 12 vears . . . 
2 
2%, 5% 
17 
8 
7 
2 mos . . . 
No. 28; well . . . 
Well; heard direct 
1 year. 
& indirect. '92, Julv 
293 
J. L. M., Brooklyn, 
1891, March 28 . . . 
66 
Rectal abscess, 
urethral flutula, 
1-6 
Calcareou 
s. Ir 
reg 
ula r. 
4 mos. . . 
No. 26, the capacity 
Re-examined, May 
1 year. 
■ 
of meatus 
8, 1892 
strong injections, 
25 years 
294 
W. II. IL, 1891, April 
33 
Urethral abscess, 5 
1 
6k 
18 
3 
7 
' 2 mo . . . 
Enlarged to No. 25; 
Not heard from. 
18 
years 
much improved . . 
295 
C. D. K., S. C„ 1891, 
33 
Traumatism by in- 
2 
4,6k 
18 
6 
16 
3 mos 
Enlarged to No. 28 . 
Re-examined, Mav 
1 year. 
M ay 10 
W. M. IL, Chicago. 
struments, 6 years; 
urethrotomv . . . 
- 
22, 1892 
296 
80 
Urethritis, 53 years; 
3 
3, 4k, 5k 
14 
3 
7 
12 mo . . . 
Enlarged to 23: pa- 
Not heard from. 
1891, May 12 ... . 
urethrotomv: pe- 
tient gone west: 
297 
G. A. B., City, 1891. 
rineal section . . . 
much improved . . 
50 
Gleet, 2 years . . . 
1 
6 
18 
3 
10 
1 mo. . . . 
Improved, 26; feels 
Re-examined. Dec. 
7 months. 
May 23 
well enough . . . 
16,1891 
298 
W. K., City, 1891. 
45 
Urethritis, 5 years . 
3 
3%, 4%, 6 
21 
6 
1 1 
3 mos . . . 
Enlarged, 28; endo- 
Reports well, Dec., 
7 months. 
June 2 
scope treatment . . 
91 
291 
W. T. C., Trenton, 
30 
Urethritis, gleet, 12 
1 
5k 
21 
3 
6 
kmo. . . 
Enlarged to 28; is 
Not heard from. 
1891, June 19 . . . 
vears 
content 
30( 
E. D. W„ N. Y. C., 
1891, Aug. 15 ... . 
36 
Gleet, 5 years . . . 
2 
2%, 5 
17, 15 
12 
Irregu 
lar for 
6 months . 
Enlarged to 28; well 
Saw patient, who is 
well, Feb., '92 . . . 
8 months. 5 
or at least so improved that the patients were content with 
the result, and did not wish any further treatment or im- 
provement ; 3, they were to be cases that were heard of 
afterwards by reliable information ; mostly by re-examina- 
tion by the family physician or by myself. Some of these 
patients came repeatedly for such a re-examination. 
The proof of no relapse was, that the same number of 
sound was used in the re-examination, which passed the last 
time at the close of the treatment, i.e., if the calibre of the 
urethra was enlarged to a number 26 French, the same num- 
ber 26 passed again after respectively three to eleven years. 
The second 100 cases 2 were selected in a different way. It 
consisted of the experience of a later period, the narrative 
of almost consecutive cases taken from my note book ; relat- 
ing all such cases, which have remained long enough under 
treatment to warrant a result, and in which the necessary 
information has been furnished and recorded; on the other 
side omitting cases, which have not been long enough under 
treatment, or only seen without treatment, and in which 
the record is sufficient. In this report I have on purpose 
omitted the word "cured," because there is a diversity of 
the meaning cure. The patients were dismissed or stopped 
treatment themselves, when they felt comfortable and well, 
had a calibre of the urethra which enabled them to void 
freely a good large stream, and if wanted could exercise a 
sexual intercourse. 
The result of such treatment is marked under the heading 
"sequel and calibre of the urethra when discharged." The 
number of electrodes used, is stated according to the French 
scale, but these (Newman's) electrodes differ somewhat from 
the usual steel sounds sold by instrument makers. The 
usual steel sound tapers, so that the end which is used in 
entering the meatus is from two to nine numbers smaller 
than the stem of the instrument, while my electrodes have 
upon the end which is used in entering the meatus, an egg 
shaped bulb, which is the full size given in my tables. There- 
2 Journal of Amer. Med. Assoc., Sept. 24, 1887. 6 
fore my No. 32, is just as large as the conical steel sound No. 
40 at the end? 
This explanation is deemed necessary to meet objections 
and a clearer understanding about the calibre of the urethra 
as stated in the statistics. 
The third 100 cases differ somewhat from the two hundred 
published before, as this is the 100 consecutive cases treated 
by the writer, and even if treated only temporary the result 
is stated, regardless, whether the patient remained under 
treatment long enough for an expected favorable result or 
left for some reason before being cured. Excluded from the 
consecutive order were only consultations, or patients who 
were seen once and came for an examination or diag- 
nosis. 
Two remarkable failures are candidly acknowledged, and 
need some explanation. Case 204, was very bad ; strictures 
everywhere from the meatus to the neck of the bladder 
complicated by urethritis, peri-urethral abscess, and made 
worse by former bungling electrolytic applications. The 
electrolytic treatment by the writer improved the urethra 
by an enlargement from No. 3 to No. 17. Progress was too 
slow, and both patient and operator getting tired of the case, 
I myself sent to Dr. Keyes, who afterward wrote "he cut 
everything," and acknowledged the severity of the case. 
No. 217, came for treatment long and faithful enough, but 
proved an entire failure, after a certain time showing 
relapse, and new inflammation. The plausible causes were : 
the operator by over anxiety doing too much and, the 
patient in intervals practicing masturbation, thereby creat- 
ing new acute inflammation. 
Nothwithstanding these explanations for cause, the result 
of these two cases are failures, and are recorded as such. 
Recapitulation.-The enlargement of the calibre of the 
urethra by the electrolytic treatment was as follows: 
Strictures which admitted no instrument were enlarged 
from No. 24 to 28 French, respectively. 
< Journal Amer. Med. Asso., Sept. 8, 1880. 7 
Strictures which admitted a No. 4 instrument were 
enlarged from No. 14 to 28 French, respectively. 
Strictures which admitted a No. 6 instrument were 
enlarged from No. 17 to 28 French, respectively. 
Strictures which admitted a No. 7 instrument were 
enlarged to No. 20. 
Strictures which admitted a No.8 instrument were enlarged 
from No. 21 to 28 French, respectively. 
Strictures which admitted a No. 9 instrument were 
enlarged from No. 17 to 28 French, respectively. 
Strictures which admitted a No. 11 instrument were 
enlarged from No. 20 to 28 French, respectively. 
Strictures which admitted a No. 12 instrument were 
enlarged to 28. 
Strictures which admitted a No. 13 instrument were 
enlarged from No. 26 to 28 French, respectively. 
Strictures which admitted a No. 14 instrument were 
enlarged from No. 26 to 28 French, respectively. 
Strictures which admitted a No. 15 instrument were 
enlarged from 25 to 28, respectively. 
Strictures which admitted a No. 17 instrument were 
enlarged from No. 20 to 28, respectively. 
Strictures which admitted a No. 18 instrument were 
enlarged from No. 25 to 32, respectively. 
Strictures which admitted a No. 20 instrument were 
enlarged from No. 25 to 28, respectively. 
Strictures which admitted a No 21 instrument were 
enlarged from No. 25 to 32, respectively. 
Strictures which admitted a No. 23 instrument were 
enlarged from No. 27 to 30 French, respectively. 
Strictures which admitted a No. 25 instrument were 
enlarged from No. 30 to 32, respectively. 
The result of the enlargement of the calibre of the urethra 
varied according to circumstances, as necessities, wishes of 
the patients, time allowed for treatment, nature of the 
stricture, complications, general condition as occupations, 
vices or virtues of the patients. But results must be consid- 
ered very good, even by chronic grumblers, if a calibre of a 8 
urethra can be enlarged to a No. 28 French, when at the first 
visit no instrument would pass, and experts have tried in 
vain before. In some cases the family physician had tried 
for weeks, in others, celebrated professors were given 
chances, without being able to pass any instrument, and the 
disposition of the cases were, the advice of perineal section. 
In some cases this advice by the family physician was accom- 
panied by a written introduction to a first class operator, 
etc. In all such cases, when no medical hand could pass the 
stricture with an instrument, it was passed successfully by 
the power of the "electrolysis," which acted as a chemical 
absorbent, and not as a dilator, as some kind friends have 
suggested. If in these cases dilatation could have been 
used, why did the experts and surgeons not do it? 
All these are facts which can be verified by reliable wit- 
nesses, and there can be no doubt that the electrolysis did 
the work, which could not be done by pressure or dilata- 
tion. 
The duration of the strictures at the time the patients 
presented themselves for treatment varied from three 
months to fifty-three years, and in recapitulating we find: 
Two cases of three months standing; three cases of six 
months; two cases of seven months ; one case of nine months ; 
nine cases of one year; eleven cases of two years; eight 
cases of three years ; five cases of four years ; eleven cases 
of five years; five cases of six years; four cases of seven 
years ; five cases of eight years ; three cases of nine years ; 
ten cases of ten years ; one case of eleven years ; five cases 
of twelve years; four cases of fifteen years; two cases of 
sixteen years; two cases of seventeen years; five cases of 
twenty years ; one case of twenty-three years ; one case of 
twenty-four years; one case of thirty-two years; and one 
case of fifty-three years: 
The percentage of single or multiple strictures : 
Single 
Multiple 
Total 
1st series of 100 cases 
. . 42 
58 
2d " " 100 " 
. . 21 
79 
230 
3d " "100 " 
. . 34 
66 
192 " 
Average in 300 " per 100 .. . 
. . 32 
67 9 
We may expect nearly one-half of patients presenting 
themselves, having single strictures. The increase of mul- 
tiple strictures in these statistics may arise from the fact 
that more bad cases were transferred to writer. 
The number of strictures in one individual we find as fol- 
lows : 
First 100 
Second 100 
Third 100 
Average 
1 Stricture in . . . 
... 42 
21 
34 
32 per cent. 
2 Strictures in . . . 
... 34 
43 
43 
40 
3 " " . . . 
. . . 17 
26 
19 
21 
4 " " . . . 
. . . 5 
7 
4 
10 
K 44 4 4 
... 2 
1 
1 
6 " " . . . 
. . . 0 
2 
1 
Tae location of the strictures was found in all parts of the 
urethra, from the meatus to more than 8 inches from it, as 
follows: 
,-Location of Strictures in- 
1st 100 
Cases 
2d 100 
Cases 
3d 100 
Cases 
Average 
At meatus or less than 1 inch from meatus 
: 8 
9 
1 
6 
At. 1 inch or less than 2 inches 
. 12 
12 
5 
10 
At 2 inches " 
At 3 " " 
3 
. 31 
24 
25 
27 
4 " " 
. 25 
41 
31 
32 
At 4 " " 
5 
. 42 
30 
35 
36 
At 5 ' 
6 " 
. 37 
46 
51 
45 
At 6 " " ' 
7 " " . 
. 24 
40 
30 
31 
At 7 " " 
8 
. 0 
20 
14 
11 
At 8 " or more from meatus 
. 10 
8 
1 
6 
Situation.-The greatest number of strictures were from 
four to six inches, or in the first part of the urethra. In the 
membraneous part 15 per cent. In the prostatic part 5 per 
cent. 
This combined statistic of 300 cases confirms the observa- 
tions made at the report of the first series, that strictures 
appear in every portion of the urethra, about 15 per cent, in 
the membraneous ; about 5 per cent, in the prostatic portion ; 
some of the latter were of traumatic origin. It seems to be 
a mistake, to believe that there are no strictures in the 
prostatic portion of the urethra, and that the largest num- 
ber are situated within three inches from the meatus. 
Seances, intervals and time of treatment average exactly 
alike in all series reported. From one to ten operations, in 
some cases even more were necessary, from which fact one 
may draw the conclusion, that the average number of 10 
stances was five to six for each case. The treatment in each 
case averaged two to three months. Long intervals between 
the stances, and weak currents are rules to which I still 
adhere, and which I cannot impress too strongly on opera- 
tors as most important points in these operations. The 
intervals ought to be once a week or more, but in case of 
necessity may be shortened; each stance lasted from two 
to ten minutes; I do not like to prolong it more, except for 
good reasons. The electric current is from three to five 
milliamperes of a good galvanic battery, having a steady 
current; which is equal to from six to ten cells. Precision 
and measurement of the electric current are desirable, if a 
good galvanometer can be procured. 
Observations.-The length of time patients were under 
observation after treatment differs widely in the the three 
series, for good and natural reasons. The patients recorded 
in the first series were under observation from three and 
one-half to eleven years, which is an average time to from 
six to seven years in each case. I have shown above the 
object and result of such observations ; and certainly it has 
been proven that during years after the treatment the cali- 
bre of the urethra, when once sufficiently enlarged, or cured 
if you please, did not suffer any contraction. This principle 
or effect of the electrolysis is also proven in the second 
series of 100 cases, but not in such a striking degree. This 
is most natural for several reasons. These cases were all 
treated lately, within a few years. Next the cases were not 
selected, but reported almost as consecutive cases, as found 
in the note book. There is no claim that these cases were 
all cured, the record speaks for itself and shows how far they 
were improved, or a good reason why they were not more 
improved, Even in this series in most cases a reasonable 
time had elapsed for observation, and many re-examina- 
tions have shown that no contraction of the urethra had 
taken place. These observations comprise a time between 
three months to five years, the largest percentage of obser- 
vations were made from one to three years. The time of 
observation in the third series of entirely consecutive cases 11 
averaged two and one-third years. A small percentage of 
these cases were not heard from again, but as they all left 
off treatment, when the calibre of their urethras was respec- 
tively of a No. 25, 28 and 32 size French, it is presumable 
that they remained- well, and that such was the reason of 
their non-appearance again. 
The average time of observation in the three hundred 
cases was six and one-half years. 
Correct Diagnosis.-With the diagnosis of urethral stricture 
in the reported cases, writer had little to do, and mostly had 
only to confirm such a diagnosis already made by the best 
known genito-urinary surgeons. Most patients were sent 
by well known practitioners, many had undergone already 
the customary procedures in all varieties, from dilatations 
to all kinds of urethrotomies for years by most eminent 
surgeons, with the result of failure. Some patients had 
endured several urethrotomies and were then advised to 
come again for another cutting as the only means. Such 
was the rule in the reported cases, and therefore no doubt 
can be entertained of the correctness of the diagnosis of 
urethral stricture. 
In one instance No. 268, out of many others, a stricture of 
twenty-three years was cured by electrolysis, while treat- 
ment for years by dilatation and several urethrotomies had 
failed. An acknowledged authority pronounced it one of 
the worst strictures and advised perineal section. The 
patient is now married and has remained well for several 
years. 
68 W. Thirty-sixth Street, New York.