The frequent obstinacy of this distressing condition under every variety
of non-electrical treatment, is the cause of the frequency with which
cases present themselves to the specialist. Unfortunately however but
few of the referred cases are of recent origin. In almost all instances
they have gone through a vast amount of medication and other treatment,
and finally, either through their attending physicians or of their own
accord, they come as a _dernier ressort_ to seek relief from electrical
treatment. I have already (p. 47) spoken of the comparative merits in
this disease of local and general electrization. A few years ago I was
ignorant of the good effects of the baths in male impotency. I came to
test and employ them here from two causes. In the first place, patients
were sent me specially for electro-balneological treatment, ordered by
their physicians; and, second, I began, when I became familiarized with
the effects of the baths, to have recourse to them in cases where with
local electrical and other treatment I had been unable to accomplish
anything. My average results, without becoming uniformly successful,
became so very much better, that after a brief but abundant experience
with this treatment, I have come to consider it the most important we
possess in this affection; one that will frequently succeed when
everything else, including local electrization, has failed, and which,
in cases where no incurable organic changes underlie the affection,
will, if properly persisted in, either cure or improve to a great extent
a large majority of the cases. I have even seen instances where, the
sexual power having receded as the legitimate result of advancing age,
it returned almost or quite perfectly and with seeming permanency under
the influence of the baths. In the class of cases—and they are quite
numerous—in which impotency (loss of the power of erection) occurs as a
purely nervous symptom in comparatively young men; where its cause is
sometimes purely imaginative, at others the result of early excesses,
the baths are attended with the most gratifying average results. Where
the cause is purely psychical, a very few baths are sometimes sufficient
to dispel the morbid phenomena. Where masturbation or excessive venery
are at the bottom of the trouble, there is always a probability of more
or less organic change in the lower portion of the spinal cord, and
frequently also a secondary enfeeblement of the digestive functions,
which render requisite a long and steadily continued use of the baths.
Patients whose sexual power was intact, who took the baths for other
purposes, have time and again called my attention to their aphrodisiac
effects.
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