Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
IMPOTENCE, or the incapacity of sexual intercourse, and STERILITY, or
the inability of procreation, are subjects which frequently become
questions in the Ecclesiastical Courts, as relating to the performance
and dissolution of the marriage contract; and as medical evidence is
generally required upon such occasions, the subjects necessarily present
themselves for discussion in the present work.
IMPOTENCE may exist either in the male or female. STERILITY is confined
to the female, for if the male be proved capable of accomplishing the
act of coition, no farther question can arise as to his virility.
Impotence may be _Absolute_ or _Relative_, that is to say, the parties
may be incapable of cohabiting with each other, and yet they may each
accomplish the venereal congress, and enjoy a fruitful intercourse with
others; it may also be _functional_ or _organic_, and depend either upon
_physical_ or _moral_ causes; and hence in some cases it may be
_temporary_, in others _permanent_, and upon this point the evidence of
the medical practitioner will be always very essential. It is therefore
important that we should proceed to investigate the subject in its
various relations to those different causes.
1. _Organic Causes of Impotence._
IN MALES.
There was a period in the history of physiology, when the testicles were
not considered essential to virility. Aristotle was led to such a
conclusion from having observed that a bull was capable of impregnating
the female after castration; a fact which depended upon the quantity of
semen, retained in the _vesiculæ seminales_, conferring fertility upon a
_coitus_ which took place immediately after the operation. The true
theory of the functions of the testicles having been thus abandoned, it
was necessary to substitute some other explanation of their use, and the
Naturalist of Stagira has accordingly asserted, that they merely serve
as weights to hinder the spermatic vessels from being folded up; an
hypothesis which, absurd as it is, has found advocates in the later
schools; and in its support we shall find many experiments and cases
related by _Marchetti_ of Padua.[287] _Sabbatier_[288] observes, that
subjects have been found who have only possessed one testicle, and what
is more extraordinary, that there are others who although entirely
destitute of these organs, have exhibited the other parts of generation
in their natural state; in proof of which _Cabrolio_ mentions the case
of a soldier addicted to sexual pleasures, in whose body no testicles
were found, although the _vesiculæ seminales_ were distended with semen.
_Scurigio_[289] and _Lieutaud_[290] refer to the same case; upon which
_Portal_[291] very justly observes, that the soldier was doubtless
furnished with testicles, but which, from their unnatural situation,
probably escaped the notice of _Cabrolio_. The extraordinary situations
in which the testicles may be found are fully detailed by
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