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®ur ^ea^trs' gisnissions.
Questions for discussion in this department are an-
nounced at frequent intervals. So far as they have been
decided upon, the further questions are as follows:
CVI.—How do you treat obesity? (Closed January 16
CVII. — hlow do you treat acute otitis media? (Answers
due not later than February 1$, 191J.)
CVIII. — Ho-M do you treat hiccough? (Answers due Que Es Levitra De 20 Mg not
later than March 15, 1911.)
Whoever ans2vers one of these questions in the manner
most satisfactory to the editor ind his advisers zvill re-
ceive a prize of 4V5. No importance whatever ivill be at
tached to literary style, but the ativrd will be based solely
on the value of the substance of the answer. It is re-
quested (but not required) that the ansn'crs be short; if
practicable no one anszver to contain more than si.r hun-
All persons will be entitled to compete for the prise
ivhether subscribers or not. This prise will not be aivarded
lo any one person more than once within one year. Every
anszver must be accompanied by the tmter's full name and
address, both of which we must be at liberty to publish.
All papers contributed become the property of the Jour-
nal. Our readers are asked to suggest topics for dis-
The prize of $^s for the best c.c.rav submitted in answer
to question CV tca.v a7cardcd lo Dr. J. G. Walker, of lola.
Kansas, whose article appeared on page 179.
PRIZE QUESTION CV.
THE TECHNIQUE FOR PERFORMING CIRCUM-
(Continued Que Es Levitra De 20 Mg from poi^c iS-i.^
Dr. G. A. Graham, of Kansa.t City. Mo., remarks:
Tn this simple operation, the principal causes for
so many partial failures and bad results are :
OUR READERS' DISCUSSIONS.
1. Roiiti:!: handling uf Uie parts, bruising by
clamping, tight sutiiies, ragged incisions, etc. The
skin covering the penis, with its reduplication over
the glans, forming the prepuce, is delicate, very
loosely attached to the underlying structures, de-
void of fat, becomes oedematous with the slightt^st
traumatism, is easily infected, and slow to heal when
2. Removing too much skin, so that on retraction
the cut edge recedes too high on the body of the
penis. This causes Que Es Levitra De 20 Mg tension on the sutures, and
leaves insufficient tissue tc allow for erection, and
if erection does occur before healing takes place,
the sutures are torn out.
3. Removing too little skin, so that, on healing,
a partial reproduction of the prepuce occurs.
4. Neglect to remove a sufficient amount of the
fold covering the glans penis causes a redundanc}-
of tissue on the lower surface and sides of the penis.
5. Performing circumcision when the incision
must necessarily be through or very close to a ven-
When there is phymosis from chancre or chan-
croid, and the prepuce cannot be retracted to allow
of sterilization of the parts, and cauterization of the
sores, it is better to lay bare the glans penis bv a
dorsal incision, and complete the operation after the
sores have healed. Otherwise the wound becomes
infected, the stitches break down, and we have one
great venereal sore encirclmg the penis, the healing
of which is a Que Es Levitra De 20 Mg slow and discouraging matter.
Only when the sore is so situated that, before the
operation, it can be thoroughly cauterized, or, if on
the foreskin, when it can be cauterized an