86 INTERNAL SECRETIONS 



communication made by the patient two and a half years after 

 transplantation the marriage is a happy one. The last state- 

 ment of Lichtenstern concerning this patient which I have read, 

 was made four years after the operation ; at this time the man 

 was still sexually normal. 



Lichtenstern (1918) describes also a transplantation performed 

 on a man castrated ten years ago on account of tuberculosis. 

 All the signs of castration were present. Testicular trans- 

 plantation was successful Hkewise in this case ; signs of sexual 

 ability appeared within three weeks. In a series of subsequent 

 communications Lichtenstern has described several other cases 

 in which successful testicular transplantations were made on 

 castrated and eunuchoid men. 



Also autotransplantations were made with men which are of 

 a still greater practical interest. All these cases relate to 

 tuberculosis of the testes. The Swiss practitioner Stacker (1916) 

 of Lucerne seems to be the first to have adopted the method of 

 engrafting healthy parts of the removed tuberculous testes 

 into the scrotum. A year after the operation, when Stocker 

 made his communication, the man was still sexually normal. 

 Successful autotransplantations in cases of tuberculosis of the 

 testes were made also by Els (1920) in the same manner as 

 Stocker. He stated that two years after the operation the 

 engrafted testicular fragment was of the same size as in the 

 beginning. Els engrafted healthy fragments of the testes also 

 in those cases where only a unilateral tuberculosis was present. 

 In five out of seven cases Els engrafted into the scrotum, 

 whereas in two cases, on account of a scrotal fistula, trans- 

 plantation was made on to the abdominal w^all. Out of these 

 seven cases five were successful and Els is of the opinion that 

 in all cases of tuberculosis where a resectio epididymidis is no 

 longer advisable, castration with transplantation of healthy 

 fragments should be performed. 



It is not our purpose to give a full description of all the 

 testicular transplantations made in man with a view to counter- 

 acting the symptoms or effects of castration or eunochoidism 

 or homosexuality. But papers by Wildholz (1917), Lichtenstern 

 (1916-20), Miihsani (1920-21), Forster (1920), and Mauclaire 

 (1923) may be mentioned in this connection. Abstracts of the 

 English papers concerning testicular transplantation will be 

 found in the American Journal, Endocrinology. A paper by 



