I have known for some time that my younger brother, Billy, is homosexual. As a family doctor and surgeon, I have given my own family free medical attention ever since I got my M.D. That included giving Billy his annual physical examination.

There is no mistaking an infundibulum; relaxation and dilation of the anal sphincter accompanied by deformation of the surrounding tissues into a conical depression. In law courts, it is considered prima facie evidence of submission to sodomy.

So I asked him, "How long have you been letting someone put his penis up there ?"

"What're you talkin' about? I don't do that."

"Billy,Billy, the medical evidence is incontrovertible. You can't submit to sodomy over an extended period of time without it's deforming the anus in a characteristic way. I'm not asking who, just how long ?"

His face scarlet with embarassment, Billy hung his head in shame and said softly "About nine months."

"Do you suck, too ?" Billy nodded. I think he expected me to scold him.

Instead, I just told him quietly "You should be very careful of who you let do those things to you. It's an easy way to transmit some terrible diseases.

If he's uncircumcised, skin back his foreskin and be sure that there are no sores under it. Before you let anyone into your body,be sure you know him really well and that you know that he's healthy."

"You mean you're not mad at me and you're not going to tell Mom and Dad ?"

"Of course not. You can't help being what you are. It's nobody's fault; it's just your nature. Do you have any sexual feelings for girls at all ?"

"Not really. Some of'em are nice to look at, but that's as far as it goes.

Gracie,the baby-sitter,showed me her cunt once and I almost puked."

"You may be wondering why I'm not upset at discovering that you've been a practising homosexual for 9 months . Well, I had some experiences of that sort myself before I discovered women. After that, men just weren't in the running.

But, I was never as committed to homosexuality as you have been or for as long. They were just rare isolated incidents. I just don't think that you are going to become seriously attracted to women. So, the best thing I can do is to accept your homosexuality and give you advice to keep you healthy and out of trouble.

So, this is just between us . It's a matter of doctor-patient confidentiality, anyhow, and neither Mom nor Dad would ever understand. Do them a favor and keep your sexual inclination a secret from them. "

Billy had tears in his eyes when he hugged me and said "Bob, you're the best brother in the whole world."

"Hey, You're my brother, Billy, and I love you." I'm secure enough in my own masculinity that I can say that without embarassment.

Rather less than a year later, for it was still summer, Billy came into my office with tears in his eyes again, but these were tears of pain and rage.

Looking about to be sure that there was no one else within earshot Billy growled "Leo Cerrutti RAPED me."

"If you can without discomfort, sit down and tell me about it"

"No. It hurts too much."

"OK, Drop your pants and let's attend to that first. You can tell me about it while I treat you."

Billy's anus was red and sore, but there were no fissures. Inasmuch as his sphincter was too relaxed to retain a suppository,I spread Nupercaine ointment on a finger cot and introduced it into his anus with my index finger.

"Oh, that feels good", said Billy.

"Well, the Nupercaine will wear off soon, but you ought to feel better by then, anyhow. There's been no bleeding, so I don't think any damage has been done. However, there's something else I want to check. Did he make you come ?"

"Did he ever ? I thought I'd never stop even though I didn't want to come. "

"You can't help it., Even a eunuch will come with someone pounding on his prostate gland. But, there are some nerves there that I want to be sure weren't damaged. How does your penis feel ?"

"Normal,I guess."

"Good. Now, I want you to try to raise an erection." Billy looked a little puzzled . "Try to get a boner."

"Oh,OK" Billy took his penis in hand and stroked it. Almost immediately, like a good little soldier, it sprang to attention.

"Very good. Now I can assure you than no significant damage as been done. You see, the erectile nerves are wrapped around the prostate gland and, in a violent anal rape, they can be damaged, causing impotency. Even though you are passive, I'm sure you'd rather be able to get a boner when you want one.

Now, tell."

" I went skinny-dipping down at Stockman's Quarry the way I'd been doin'since I was 8 years old. There was nobody else there. After a while,

I started to feel cold. The water in that quarry never seems to warm up much. So,I got out and stood on the ledge to warm up in the sun.

Then Leo Cerrutti came down and stripped, but he didn't go in the water right away He stood around posing, showing off his muscles and his big cock. He's got some body and that whang of his would make a donkey jealous.

He came over to me and asked "Wanna wrestle ?" I said "Sure" both becuase I'm pretty good at it and who wouldn't like to grapple that terrific body ? So, we grabbed each other's shoulders and pushed each other around, just horseplay. Both of us got boners and all of a sudden, Leo grabbed my balls and growled "Bend over" and it didn't sound like he was kidding.

I said "No, you're too big for me." So, he squeezed my balls so hard that I had to bend over and he rammed that big cock of his right up inside of me, not even trying to take it easy on me. I screamed and he squeezed 'em harder and said "Shut up or you'll be singin'soprano." So I shut up and he didn't squeeze quite so hard.

Once he got me to come he fucked hard and fast and kept me coming 'til I got rubber-legged and almost passed out. Then he shot his load inside me. Then he jumped in the water to clean his cock off. I grabbed my clothes and shagged ass. I put my pants on in the woods when I was sure he wasn't following me. And that's my story."

"There's not a great deal we can do about it without stirring up a hornet's nest, and he knows it."I commented. "He knows that you won't go to the police for fear of revealing that you're homosexual, and, of course, he's right. We want to spare Mom and Dad from a scandal.

As you know, he's my patient.That's why I'm not worried about your catching a venereal disease from this rape. I'm pretty sure he doesn't have any. There are all sorts of unpleasant things I could do to him, but not without risking a charge of malpractise,. But, I promise you this, Billy.

Somehow, I'll find a way to get back at him. "

I was beginning to think that this had been sheer bravado,when fate played into my hands. As already implied, Leo Cerrutti was a show-off.

He was a weight lifter and his favorite showpiece was the snatch-and-press. Bend over, grab the bar of a barbell, and in one fluid movement, lift it, raise it while rising to an upright posture and raise it over one's head without any interruptions or hesitations.

It's very impressive when done right but,Leo did something wrong and ruptured both his groins while practising when nobody was watching.

I knew nothing of this until Leo stopped into my office one evening and told me that he thought that he had ruptured himself. I examined his groins and found a classic bilateral inguinal hernia. Luckily, only my mind's eye could see the electric light-bulb that flashed on over my head.

In a casual tone, I asked "how long ago did this happen,Leo ?"

"Oh, about three weeks."

"THREE WEEKS ! My God ! You'll be lucky if you don't lose your testicles. For three weeks these ruptures have been pressing on your spermatic cords, strangling the blood supply to your testicles . It'll be remarkable if they haven't started to mortify yet.

Look, I can't operate on your ruptures now because I'm on ward duty in the County Hospital tonight, but you get your ass over here at 7:00 AM tomorrow morning. Go home, go to bed and stay there until you come here. DON'T LIFT ANYTHING."

"Now," I thought, "all I need is a good blood-clotting agent to give Leo a nice case of bilateral testicular infarction. That ought to put a crimp in both his athleticism and his career as a rapist. Fibrinogen ought to do the trick."

While on duty at the hospital, I had access to the pharmacy for anything I might need in case of emergency. It was duck soup to get a vial of fibrinogen without checking it out. Nobody would notice it until inventory when there was always something that turned up missing.

I intended to inject fibrinogen into the spermatic artery just above each testicle by exposing the spermatic cords through the incisions made to correct the hernias. This would form blood clots where the arteries entered the testicles and might also clog the capillaries. The testicles, deprived of blood would soon die.

I seldom had any assistance in the operating room, and I didn't this time either. As usual, I was my own anesthetist. I shaved and disinfected Leo's groins and gave him chloroform.

I made the usual incisions for routine hernioplasty but, before commencing that procedure, I drew each testicle up through the inguinal canal until it was nearly about to emerge,exposed the spermatic artery and injected fibrinogen into it downward toward the testis. The fibrinogen reacted with the thrombin in the blood to produce a clot.

So effective was this that, by the time I withdrew the needle of the syringe, there was no bleeding from the puncture it had made in the artery. When I had blocked the circulation to both testicles in this fashion, I completed the hernioplasty procedure.

Having covered the external sutures with gauze dressings held in place with court plaster, I cleaned up Leo's abdomen and thighs and waited for him to awaken.

When he did, I told him "Well,Leo, the hernioplasty was successful; you are no longer ruptured.That does NOT mean you can resume weight-lifting tomorrow . You've got a lot of healing to do. I want you to spend the next week in bed . Keep your bowels open. Straining in a hard bowel movement could tear loose some of your internal sutures.

"What about my balls ?"

"I don't like the consistency if your testicles,. They're softer than they should be. They may have been deprived of enough blood for too long .

They may waste away,or they may mortify and have to be removed to prevent blood poisoning. It's too early to tell yet.

I'll be in every other day to check and perhaps change the dressings on your incisions, and I'll check your testicles then. You may be slightly feverish. If you are DON'T TAKE ASPIRIN. It's a blood thinner and we don't want that. I'm going to give you a fever thermometer.If you feel at all feverish, stick it under your tongue for 2 minutes and read it. It it's not over 99.6 just drink cold water.If it's higher, take sweet spirit of niter. I'll give you some to take with you. If it's 101 or more, call me immediately.

Two days later, I called on Leo. He was running a temperature of 103.

I made him take sweet spirit of niter immediately and checked his dressings. There was almost no pus on them . I palpated his testicles and found them to be very soft and insensitive.

Having anticipated a need to do some serological work on fluid from his testes, I had brought a microscope with me. I withdrew a drop of fluid from the left testis, and examined it. There were numerous fragments of seminiferous tubules and bacteria, but almost no leucocytes.

I told Leo "Your testicles are infarcted, that is, dead. They are suppurated, which means full of pus. Because blood clots have reduced

circulation nearly to zero, pus has not yet entered the blood stream, though enough bacteria have to give you that fever. You are in danger of septicemia,that is, blood poisoning. The only way to prevent it is to remove your testicles.

I urge you to allow me to do this immediately, right here in your bed, because your life is in danger. "

"But, what'll I do without balls ?"

"Admittedly, not much but all you can do with them is die."

I had Leo get out of bed while I removed all of the bedclothes and spread an oiled-silk sheet which I "just happened" to have brought with me, on the mattress. I had Leo go into the bathroom and shave off all of his pubic hair and the hair on his thighs.

I used an atomizer to spray dilute carbolic acid on the sheet and on Leo's thighs, and scrotum . Conditions were now about as sterile as in most surgeons' operating rooms at the time. I used a local anaesthetic, cocaine, instead of general anaesthesia for this operation . I injected the cocaine into Leo's scrotum and spermatic cords .

The bilateral orchiectomy was routine, but I made doubly sure to use two sets of ligatures on the cords so that no pus escaped into the

surgical site. I placed the severed testicles in a jar of formalin for safe disposal later (but mainly so that I could show them to Billy.)

I was able to assure Leo that the operation had been successful but that, unfortunately, his sex life was over.