326 The Philippine Journal of Science 1921 
PLATE 9 
Fic. 1. Elephantiasis of penis; scrotum unaffected. 
2. Cauliflower condition of preputial tissues. 
PLATE 10 
Elephantiasis of the penis; scrotum slightly affected. 
PLATE 11 
Elephantiasis scroti (narrow-necked), weighing, after removal, 32 kilo- 
grams. Patient an opium smoker. The slit in the center rep- 
resents the urinary orifice, the glans being just beyond the reach 
of my finger when inserted at the opening. 
PLATE 12 
Condition of parts three weeks after operation. The testicles being atro- 
phied, and the patient in a weak condition at the time of oper- 
ation, these were removed, thus facilitating healing. 
PLATE 13 
Elephantiasis scroti. The warty condition of the penis is well shown. 
The skin of the abdomen was slightly affected as far up as the 
umbilicus. Weighed, after removal, 16.3 kilograms. It will be 
evident how impossible it is properly to disinfect the skin in a 
case of this kind. 
PLATE 14 
Elephantiasis scroti, showing a twisted condition, not infrequently seen, 
affecting the penile tissues. Weight after removal, 3.2 kilograms. 
PLATE 15 
Fic. 1. Elephantiasis scroti, broad-necked. 
2. Elephantiasis of the cheeks. 
PLATE 16 
Condition of parts thirteen days after operation. Shows well the preputial 
lining turned back to form part of the coating of the penis. This 
5 patient has had two children since operation. 
PLATE 17 
(Edema of the penis, which came on shortly after the operation. This 
was due almost certainly to the contraction of the healing wound. 
It passed away of itself within a year, and the patient recovered 
completely. In the right groin the scar of the hernia incision is 
visible. 
PLATE 18 
Elephantiasis scroti. Leg also affected. 
PLATE 19 
Elephantiasis of both legs, the left also showing the troublesome chronic 
ulceration met with in some of these affected legs. The fold 
at the ankle and the shapeless condition of the foot are well shown. 
