The accusation is sometimes made that surgeons who have had the good luck to score an exceptional success are apt to rush into print and report it to the profession without waiting a reasonable time in which to ascertain whether or not the cure can properly be classed as a permanent one. However, I think we may consider the following patient definitely and permanently cured, whose case—possibly unique in point of time between her sphincteric loss and its restoration—I now publish for the first time six years after the operation. My library search has not been thorough, and reports from those who have completely cured patients longer afflicted would be of interest.
The patient, a lady in the family of a physician in this city, states that she can now control, even during an occasional diarrhea, her bowel movements as perfectly as ever before the tear. If this muscle, during