412 CLINICAL VETERINARY MEDICINE AND SURGERY. 



increased in size. During the course of the third week of treatment the 

 animal was sent to the College. 



State on Examination. — The penis, which was doubled in size and 

 insensitive, hung inertly from the sheath. Its surface showed signs of 

 the scarification which had been performed. The scrotum was slightl}- 

 swollen. There was no fever. 



Until the 4th January the treatment consisted in : scarification, 

 repeated cold spraying, passage of the electric current, and internal 

 administration of potassium iodide. No improvement followed. 

 Amputation was finally resolved on. 



The operation was performed by the usual method. The urethra 

 was exposed, incised, and the flaps sutured to the surrounding integu- 

 ment. An elastic ligature was applied to the penis, the free portion of 

 which was divided just below. Haemorrhage was somewhat abundant, 

 and returned several times after urination. The sheath and scrotum 

 showed extensive swelling, which persisted until the end of the second 

 week, when it began to subside. The wound was cleansed night and 

 morning with warm creolin solution, and healed regularl}'. The animal 

 left on the 5th February. The scrotum and sheath were still slightly 

 swollen, but urine was freely passed. There was no after-contraction. 



121. An eight-year-old gelding, left in hospital i6th May, 1898. 



Three months before this horse had suffered from pneumonia. 

 During the period of resolution the penis became paralysed. One 

 morning it was found swollen, pendent, inert, and exhibiting a sharply 

 defined circular ridge, a few inches below the margin of the sheath. 

 The condition was at first treated by douches and scarification, but 

 unsuccessfully. 



Condition on Entry. — ^On the day of entry the protruding section of 

 the penis measured fourteen inches in length, was swollen, oedematous, 

 insensitive, and about three times normal size. It showed scarification 

 marks, some of which still suppurated, though others had healed. The 

 sheath was slightly engorged. The animal's general health was 

 excellent. 



On the i8th May the penis was amputated by the usual method. 

 A reversed V-shaped incision was made on the lower surface, each limb 

 being about three and a half inches in length. The other stages of the 

 operation were as usual. The excised portion of the penis weighed six 

 and a half pounds. On the animal rising the stump bled, and 

 continued dripping for half an hour. During the night only a part of 

 the ordinary food was consumed. 



During the following days nothing noteworthy occurred. There 

 was no haemorrhage, and the temperature did not exceed 38*5° C. The 

 sheath swelled, the wound suppurated slightly, and the gangrenous 

 portion of the penis became blackish and hard. Urine was passed 

 without difficulty. 



At the end of a week suppuration had almost ceased. The eschar 

 only held by a narrow pedicle, and on the ninth day became separated. 

 The wound had healed and the urethra was widely open. The animal 

 left on the 28th May. There was no after-contraction. 



