DISEASES OF THE GENERATIVE ORGANS. 143 



suggest the presence of a second stone. Even in the more violent 

 attacks the intense suffering abates somewhat on the second or third 

 day. If it lasts longer it is likely to give rise to the formation of 

 matter (abscess). In exceptional cases the testicle is struck Avith 

 gangrene, or death. Improvement may go on slowly to complete 

 recovery, or the malady may subside into a subacute and chronic form 

 with induration. Matter (abscess) may be recognized by the presence 

 of a soft spot, where j^ressure with two fingers will detect .fluctuation 

 from one to the other. "When there is liquid exudation into the 

 scrotum, or sack, fluctuation may also be felt, but the liquid can be 

 made out to be around the testicle and can be pressed up into the 

 abdomen through the inguinal canal. When abscess occurs in the 

 cord the matter may escape into the scrotal sac and cavity of the abdo- 

 men and pyemia may follow. 



Treatment consists in perfect rest and quietude, the administration 

 of a purgative (1 to 1^ pounds Glauber's salts), and the local appli- 

 cation of an astringent lotion (acetate of lead 2 drams, extract of 

 belladonna 2 drams, and water 1 quart) upon soft rags or cotton wool, 

 kept in contact with the part by a suspensory bandage. This band- 

 age, of great value for support, may be made nearly triangular and 

 tied to a girth around the loins and to the upper part of the same sur- 

 cingle by two bands carried backward and upward between the 

 thighs. In severe cases scarifications one-fourth inch deep serve to re- 

 lieve vascular tension. When abscess is threatened its formation may 

 be favored by warm fomentations or poultices, and on the occurrence 

 of fluctuation the knife may be employed to give free escape to the 

 pus. The resulting cavity may be injected daily with a weak car- 

 l)olic-acid lotion, or salol may be introduced. The same agents may 

 be used on a gland threatened with gangrene, but its prompt removal 

 by castration is to be preferred, antiseptics being applied freely to 

 the resulting cavity. 



SARCOCELE. 



This is an enlarged and indurated condition of the gland, resulting 

 from chronic inflammation, though it is often associated with a 

 specific deposit, like glanders. In this condition the natural struc- 

 ture of the gland has given place to embryonal tissue (small round 

 cells, with a few fibrous bundles), and its restoration to health is very 

 improbable. Apart from active inflammation, it may increase very 

 slowly. The diseased testicle is enlarged, firm, nonelastic, and com- 

 paratively insensible. The skin of the scrotum is tense, and it may 

 be edematous (pitting on pressure), as are the deeper envelopes and 

 spermatic cord. If liquid is present in the sac, the symptoms are 

 masked somewhat. As it increases it causes awkward, straddling, 

 dragging movement of the hind limbs, or lameness on the affected 

 side. The spermatic cord often increases at the same time with the 



