Cases are liable to occur, however, which, without leaving the question as to sex in doubt, if reasoned by exclusion, would not furnish any possible opportunity for circumcision. Such a case is reported in Virchow's _Archives_, vol. cxxi, No. 3; also in the _British Medical Journal_ of December 6, 1890, and in the _Satellite_ for January, 1891. It is one of congenital absence of penis. "Dr. Rauber records very briefly the case of a shoe-maker, aged 38, who complained of pain and trouble in the anus. On examining him, Rauber found a well-formed scrotum containing two testicles, each with a vas deferens and spermatic cord, but no trace of a penis. The urethra opened apparently into the anterior wall of the rectum. The man occasionally experienced sexual excitement, followed by an emission into the rectum. The burning pain complained of in the rectum and about the anus was due to the irritation caused by the urine. The man would not allow an ocular inspection of the interior of the rectum. Unfortunately, the details of this very rare condition are incomplete." It would be interesting to know where the seat of his sexual desire is situated, unless an aching testicle is such. I once knew a Spiritualist who claimed to feel the pains suffered by any friends with whom he was in sympathy; he once tried to argue with me that a certain lady patient--a warm personal friend of my questioner and a Spiritualist--had ovaritis, because he felt an intense burning pain in his _right ovarian region_ whenever he went near to her. I tried to reason with him that that pain should be in his right testicle, but he would insist on having the sympathetic pain in _his_ ovarian region. CHAPTER XI. RELIGIO MEDICI.