ld enema taken just before retiring, and retained, will often
do much to allay local irritation.

_Electricity_.--Probably no single agent will accomplish more than
this remedy when skillfully applied. It needs to be carefully used,
and cannot be trusted in the hands of those not acquainted with the
physical properties of the remedy and scientific methods of applying
it.

_Internal Applications_.--Complete and rapid success greatly depends
upon skillful internal treatment, in a large number of cases. We are
aware that there is considerable prejudice, in certain quarters,
against internal treatment; but having had the opportunity of observing
the effects of careful treatment applied in this way, and having put
to the test of practical experience this method, we feel justified in
recommending that which is approved on both theoretical and practical
grounds; for it is rational to suppose that proper treatment applied
directly to the seat of disease must be at least equally efficacious
with methods less direct.

As heretofore explained, in the more severe cases the urethra is found
in a very irritable condition. It is hyper-sensitive, especially in
that portion just in front of the bladder, where the ejaculatory ducts
open into it. We have also seen how this condition is one of the chief
exciting causes of emissions. The remedies described for allaying this
irritation are all excellent and indispensable; but there is another
method of great value. This consists in the passage of a suitable
instrument, a sound or bougie of proper size, two or three times a week.
By the aid of this means, the abnormal irritation will often diminish
with magical rapidity. The passage of the instrument of course needs
to be done with great delicacy, so as to avoid increasing the
irritation; hence it should not be attempted by a novice. Lack of skill
in catheterism is doubtless the reason why some have seemed to produce
injury rather than benefit by this method of treatment, they not
recognizing the fact asserted by Prof. Gross in his treatise on surgery,
that skillful catheterism is one of the most delicate operations in
surgery.

_Use of Electricity_.--The use of electricity in connection with that
of the sound adds greatly to its utility. By means of the metallic
instrument, also, electricity may be applied directly to the point of
greatest irritation; and its soothing effect is sometimes really
wonderful, as the following case will show