DISEASES OF THE CENEKATIVE ORGANS. 165 



cases tlie scanty urine may l)e reddisli and the swellinfj: may extend 

 to the skin and envelopes of the testicle, which may become thickened 

 and dou«;hy, pittinof on pressure. The swelling nuiy be so much 

 jrieatei- in the convoluted excretory duct alt>ng the upi)er bordci- of 

 the testicle as to su<rf;est I he presence of a second stone. Even in 

 the more violent attacks the intense surt'ering abates somewhat on the 

 second ov thiiil day. If it lasts longer, it is liable to give rise to the 

 formation of matter (abscess). In exceptional cases the testicle is 

 struck with gangrene, or death. Improvement may go on slowly to 

 complete recovery, oi- the malady uuiy subside into a subacute and 

 chronic form with induration. Matter (abscess) nuiy be recognized 

 by the presence of a soft spot, where pressure with two fingers w ill 

 detect fluctuation from one to the other. AVhen there is licjuid exu- 

 dation into the scrotinn, or sac, fluctuation may also be felt, but 

 the liquid can be made out to be around the testicle and can be 

 pressed up into the alxlomen through the inguinal canal. AVhen 

 abscess occurs in the cord the matter may escape into the scrotal s;ic 

 and cavity of the abdomen and pyemia may follow. 



Treatment consists in perfect rest and quietude, the administration 

 of a purgative (1 to 1^ pounds (ilauber's salt), 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 supi)ort, may be made nearly triangular and 

 tied to a girth aroinid 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 

 relieve vascular tension. When abscess is threatened its formation 

 may be favored by warm fomentations or poultices, and on the occur- 

 rence of fluct tuition the knife may be used to give free escape to the 

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

 bolic-acid lotion, or salol may be introduced. The same agents may 

 be used on a gland threatened with gangrene, but its i)rompt removal 

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

 the resulting cavity. 



SARCOCELE. 



This is an enlarged and indurated conilition of the gland, icsulting 

 from chronic inflammation, though it is often a.ssociated with a 

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

 ture of the gland has given i)lace to embryonal tissue (small, round 

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

 improbal)le. Apart from active inflammation, it may increase very 

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



