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
The body of the testicle is liable to many diseases, by which its
structure becomes so changed, and its delicate organization so
obliterated, that its secreting powers are entirely lost, such as
schirrus, cancer, scrofula, &c. but we are to remember that such
affections, if confined to one testicle, are not to be considered as
affecting the virility of the party. M. _Larry_, Inspector General of
the French Army, informs us that a disease which he calls _Atrophy of
the Testicles_ seized many of the troops in their return from Egypt; by
which these organs became soft to the touch, and gradually diminished in
size, without any pain; and it is well known that persons who are
afflicted with _Elephantiasis_ lose all sexual appetite, and that their
genitals waste.
An organic fault similar to that which we have described, as relating to
the _Epididymis_ of the testicle, sometimes occurs in the _Vesiculæ
Seminales_, where instead of entering the urethra, they terminate, after
being joined by the _Vasa Deferentia_, in imperforated pouches, or
cul-de-sacs, producing incurable impotence. In some cases the spermatic
chord becomes varicose, and is followed by loss of power.
The most common malformation connected with the penis is the unnatural
situation of the orifice of the urethra; sometimes it opens in the
perinæum, occasionally on the dorsum of the penis, and frequently
underneath. Mr. _John Hunter_ was consulted by a person, who expressed
great anxiety to have children, but whose urethra opened into the
perineum, he therefore recommended him to inject by means of a syringe,
previously warmed, the semen into the vagina, _post coitum_, and during
the existence of the orgasmus venereus; the wife, it is said, became
pregnant, and Sir E. _Home_ observes, that no doubt was entertained by
Mr. _Hunter_, or the husband, that the impregnation was entirely the
effect of the experiment. It would appear that _emissio seminis in
vaginam_ is in some cases all that is required for impregnation, and
therefore provided the orifice of the urethra be situated in a part of
the penis that enters the vagina, any unusual deviation in its direction
may not be material; nay farther, in some instances _emissio sine
penetratione_ has appeared sufficient;[303] many cases are recorded in
which the hymen was entire at the time of delivery;[304] and Dr.
_Huxham_[305] relates an instance of pregnancy, where from the
preternatural formation of the female genital organs, it was impossible
that the act of copulation should ever have been completed. A contracted
state of the Prepuce, or _Phymosis_, may so interfere with the discharge
of the seminal liquor, as to constitute a cause of impotence,
(_Dyspermatismus Præputialis_, Culleni) an operation, however, will
always in such cases remove the impediment.[306] By some authors the
undue dimensions of the penis have been classed under the causes of
impotence, but upon this point we would observe that the case already
cited from Mr.
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