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
_Sir E. Home_ considers that all the monstrous productions, hitherto
noticed and described as Hermaphrodites, may be reduced to one of the
_four_ following classes, viz:
1. _Malformations of the Male._ 2. _Malformations of the Female._ 3.
_Males with such a deficiency in their organs, that they have not the
character and general properties of the male, and may be called_
NEUTERS. 4. _Where there exists a real mixture of the organs of both
sexes, although not sufficiently complete to constitute double
organs._
To illustrate the first case, we may refer to that of a negro described
by _Cheselden_,[476] who would appear to have possessed the organs of
the male exclusively, only in a state of great distortion, owing to the
imperfection of the _scrotum_, which was divided into two separate bags
with a deep slit between them, resembling very much the _labia pudendi_,
and the opening into the vagina; over these hung down the penis; the
imperfection of the septum of the _scrotum_ extended to the canal of the
_urethra_; this is not unlike the fissure of the hare-lip being
continued through the bony palate, a circumstance often met with. The
under surface of the _penis_ was attached, through its whole length, to
the two bags containing the testicles, looking like a preternatural
_clitoris_; to which it bore a more perfect resemblance from the absence
of the _urethra_. The urine passed through a preternatural termination
of the _urethra_ in the _perineum_, and came out externally in the space
between the testicles, which formed an enlarged aperture that had been
mistaken for a narrow vagina, in consequence of its allowing an
instrument to pass to some distance, by conducting it to the bladder.
Such mal-formation of the male organs[477] is particularly worthy
attention, for it is that, more than any other, which has given
origin[478] to mistakes respecting the mixture of the sexes. The _lusus_
often occurs in different degrees of imperfection, and may in some
instances be materially diminished by art. In the _second_ case, it may
be observed that there are two mal-formations of the female organs of
generation, which may give to the external parts a doubtful character;
one is an enlargement of the _clitoris_; the other, a protrusion of the
internal parts. It has been already stated that enlargements of the
_clitoris_ are not of rare occurrence, especially in hot climates; and
that at birth it is often larger than the penis, and has frequently
given rise to mistakes; so that females have been baptised as
males.[479] The following remarks may serve to lead to a correct
decision upon these occasions:—If the subject be a female, the labia are
well formed, and when handled no round bodies are felt in them like
testicles; the fissure at the extremity of the glans does not
communicate with any canal of the urethra; but under the glans, and at
the posterior extremity of the fissure, there is an opening which leads
immediately to the bladder.[480]
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