Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their TreatmentCulverwell, Robert James
Science
Porneiopathology: A Popular Treatise on Venereal and Other Diseases of the Male and Female Genital System; With Remarks on Impotence, Onanism, Sterility, Piles, and Gravel, and Prescriptions for Their Treatment
Culverwell, Robert James
Genitourinary organs -- Diseases; Sexual health; Sexually transmitted diseases
The folds formed by the veins lapping over each other are clearly
distinguishable, and the dependent state of the scrotum on the affected
side exhibits very well the occasion of it. The treatment consists
in giving support by means of a suspensory bandage, which may be
worn during the day, and the use of local refrigerants night and
morning. The state of health is sometimes mixed up with it; and tonics
and generous diet are useful. The cold shower bath helps to brace
the system. It is a complaint in which, if it be not of very great
severity, nor very long continuance, much good may be done. In some
instances the veins may be allowed to empty themselves, which they will
do when the body is in a recumbent position, and a coated ivory ring,
or a silken band, may be so placed around them as shall prevent their
refilling. It is, however, a case fitter for the surgeon’s management.
_Abscess in the Testicle._—The testicle is subject to inflammation
and suppuration like any other structure. A case about three years
ago fell under my notice, where a quantity of dark fœtid fluid was
released on puncturing a testicle in which the sense of fluctuation
was very evident; and the patient stated that it had been five or six
years in arriving at that condition. He was wasted considerably from
nocturnal perspirations and acute pain, and his sexual desire was much
diminished. The case did well, and the latter function was restored
without much loss.
_Hydrocele._—Hydrocele is an accumulation of yellow serous fluid in
the _tunica vaginalis testis_ (refer to the engravings in next page),
or peritoneal covering of the testicle. It is a disease incident to
every period of life, but more commonly met with in grown persons.
The ordinary formation of hydrocele is unattended with pain; and the
patient accidentally discovers the existence of the swelling, but
oftentimes not until it has attained a considerable magnitude. The
tumor, when large, produces an unsightly appearance, and forms a
hindrance to sexual intercourse, from the integuments of the penis
being involved therein, and thereby preventing a perfect erection of
that organ. The disease may appear to originate spontaneously; but it
is usually traceable to some bruise, blow, or other external injury to
the part.
The two following drawings exhibit the outward and inward appearance of
the scrotum in hydrocele:—
[Illustration: The Scrotum largely distended.]
[Illustration: The Scrotum distended to its utmost extent, and the
position of the fluid shown. The penis is almost always more or
less drawn up, and in severe cases it appears drawn up so as
scarcely to be perceptible.]
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