PARALYSIS OF THE PENIS. 



413 



This horse died on the 3rd May, 1899, from rupture of the stomach. 

 Fig. 46 shows the appearance of the urethral opening at that time, i. e. 

 one year after operation. 



122. A ten-year-old entire horse, entered hospital 26th November, 

 1898, affected with paralysis of the penis consecutive to pneumonia. 



On a certain day during the convalescent period the penis was seen 

 to remain pendent. For the following few days it increased in size. 

 As scarification and cold douches produced no benefit the horse was 

 sent to Alfort to undergo amputation. 



The animal's general condition was good. The penis was insensi- 

 tive and pendulous, four times its normal size, and marked with 

 transverse ridges and depressions. The paralysis having only existed 

 for a month, that is from the 26th November to the 4th December, was 

 at first treated by local scarification, douches, and administration of 



Fig. 46. — Amputation of the penis showing stump and urethral orifice. 



potassium iodide. The parts were several times scarified at a dozen 

 points, haemorrhage on each occasion being abundant and prolonged. 

 Nevertheless, the extremity of the penis only diminished slightly in size, 

 and remained paralysed and insensitive. 



On the 5th December the organ was amputated by the usual method, 

 though the sutures were slightly modified. The urethral canal having 

 been dissected free, cut transversely, and the exposed portion laid open, 

 the flaps of mucous membrane were only attached to the skin by two 

 sutures passed about three eighths of an inch from the margins of the 

 wound. The integument of the penis was divided in a circle opposite 

 the base of the wound, the elastic ligature drawn light in the depression 

 thus formed, and the penis cut through about three quarters of an inch 

 below. 



Despite the application of the elastic ligature considerable haemor- 

 rhage occurred, and had to be checked by cauterisation and the appli- 

 cation of forceps. A quart of one per cent, salt solution was injected 



