Senescence, the Last Half of LifeHall, G. Stanley (Granville Stanley)
Science
Senescence, the Last Half of Life
Hall, G. Stanley (Granville Stanley)
Geriatrics
Case 1. Man of 44, lean, weak, wrinkled, incapable of
physical work by reason of easy fatigue. Libido failing for
years and almost extinct, testicular pains, and double-sided
hydrocele. With local anesthesia the typical Winkelmann
operation was performed. On both sides there was ligature of
the vas deferens between the testicle and the epididymis. The
cure took a week and the patient was soon discharged. A few
weeks witnessed a striking change. He increased in weight,
the wrinkles almost vanished, and in five months he had won
back muscular power and become a hard worker, carrying heavy
burdens. “Libido and potence returned with great intensity.”
The upper part of the thigh grew hairy and both hair and beard
increased so that he had to shave more often. Improvement
continued during the year and a half in which he was under
observation and he seemed in every way a vigorous and young man.
Case 2. Man of 71, of large business, who came to the hospital
with an abscess in the left testicle with septic signs--chills,
high temperature, etc.--so that it was necessary to remove the
source of maturation _in toto_. At the same time the right,
sound testicle was subjected to ligature of the passage from
the epididymis to the vas deferens. In twenty-four hours the
patient lost his fever and in three weeks left the hospital.
Quite apart from the acute symptoms, this patient had for
years suffered marked signs of age, especially calcification
phenomena--dizziness, shortness of breath, weakness of
heart, great fatigue, tremors, etc., with libido extinct for
eight years. Within a few months a marked change occurred. A
feeling of masculinity returned and in nine months the patient
described his own condition in a letter in which he says in
substance that, to his great surprise, certain nocturnal
phenomena had recurred, his appetite was so great that for a
long time it was difficult for him to satisfy it, instead of
previous depression he found himself again full of the joy of
life and considered himself very elastic for his age, while his
friends often remarked the great change that had taken place
and could not believe he was seventy-one. He suffers little
from fatigue, calcification and dizziness have ceased, he can
think clearly, had to go to the barber more often, and all his
functions have greatly improved.
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