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
_Rinlaender_;[292] their absence from the scrotum does not necessarily
imply impotence; they are formed in the cavity of the abdomen, and until
the sixth month, lie immediately below the kidneys on the fore part of
the Psoæ muscles, after which period they gradually descend towards the
abdominal ring, through which they generally pass into the scrotum
before birth; but it occasionally happens that this descent, in regard
to one or both testicles, does not take place until a late period, and
in some instances they remain within the cavity of the abdomen during
life;[293] in such a case, a question has arisen as to the virility or
impotence of the individual so situated, and upon which medical opinion
would seem to be still unsettled. _Foderé_ states that such persons have
even been remarkable for their vigour; for these organs, says he, appear
to derive greater power of secretion from the warm bath in which they
lie, than when they have descended into their natural situation. Mr.
_John Hunter_ has given a very different opinion, and one which appears
to be more compatible with the sound doctrines of physiology; he
believes that when both testicles remain through life in the belly, they
are exceedingly imperfect, and incapable of performing the natural
functions of these organs; and that it is such imperfection in structure
which prevents the disposition for their descent taking place; an
opinion in which _Zacchias_ and _Riolan_ entirely concur. Mr.
_Wilson_[294] observes that he is acquainted with one case that
confirms, and another that would to a certain degree refute this
opinion; and this is probably the true state of the question; each case
must rest upon its individual merits, and the practitioner, whose
opinion is desired upon such an occasion, must carefully inquire into
every moral and physical circumstance that can, collaterally, assist his
judgment; such as the general appearance, _soprano_ voice, and
effeminate physiognomy, of the individual, “_frustra enim ætas advenit,
si testes defuerint; manebit enim etiam virili ætate fæminæ
similis_.”[295] But the absence of the testicles in the scrotum may
depend upon other and less equivocal circumstances, they may have been
removed by excision (_Eunuchs_), in which case there will be no
difficulty in ascertaining the fact by the appearance of the cicatrix:
or they may have been actually absorbed by an operation of Nature, after
considerable inflammatory action. Mr. John _Hunter_[296] has given an
account of three cases in which such a result occurred.
It does not appear that _two_ testicles are essential to virility,
although the Parliament of Paris in 1665 decreed that the matrimonial
contract should not be deemed valid unless _two_ testicles were evident;
it is now generally admitted that persons with only one (_Monorchides_)
are fully capable of procreation.
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