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THe Prepuce is straightened about the Glans two wayes; for it either covers the whole nut, and so straightly encompasses the end thereof, that it cannot be drawn upwards,
and consequently the nut cannot be uncovered; or else it leaves the Glans bare under it, be∣ing fastned so stiffly to the roots thereof, that it cannot be turned up, nor drawn down, or over the Glans. The first manner of constriction is termed Phimosis, the later Paraphimosis. The Phimosis happens either by the fault of the first conformation, or else by a scar, through which occasion the Prepuce hath grown lesser, as by the growing of warts. Now Paraphi∣mosis is often occasioned by the inflammation of the yard, by impure copulation; for hence ulcers breed between the Prepuce and Glans, with swelling and so great inflammation, that the prepuce cannot be turned back: Whence it is that they cannot be handled and cured as you would, and a gangrene of the part may follow, which may by the contagion bring death to all the body, unless it be hindred and prevented by amputation: but if a scar be the cause of the constriction of the prepuce, the patient being placed in a convenient site, let the prepuce be drawn forth and extended, and as much as may be stretched and enlar∣ged, then let the scar be gently cut in three or four places on the inner side with a crooked knife, but so, that the gashes come not to the outside, and let them be an equal distance each from other. But if a fleshly excrescence or a wart shall be the occasion of this strait∣ness and constriction, it shall be consumed by the same remedies, by which the warts of the womb and yard are consumed or taken off. But when as the prepuce doth closely adhere to the Glans on every side, the cure is not to be hoped for, much less to be attempted.
The causes.
The cure.