UNCHASTITY 357 



the redundant portion of scrotal tissue. This mode of 

 operation has always been attended by most excellent 

 results. 



The wearing of a suspensory bag is also advisable 

 for those whose testicles are unusually pendulous. 



Treatment of the Disease in Women.— The treat- 

 ment of the results of self-abuse in woman is a very 

 much more complicated affair than it is in man, owing 

 to the greater variety of local disorders induced 

 thereby. The various forms of displacement require 

 special methods of treatment, many of which cannot 

 be readily undertaken at home. Many of the measures 

 suggested for the treatment of males are, however, en- 

 tirely applicable to this class of cases in women, and 

 may be employed to very great advantage and with 

 most excellent results. The sitz bath, hot sponging of 

 the spine, hot and cold applications to the spine, and 

 the saline sponge bath are all very useful measures. 



Most important of all, however, is the vaginal 

 douche. This method of treatment consists in the in- 

 jection into the vagina by some form of syringe, par- 

 ticularly the fountain or syphon syringe, of hot water. 

 The temperature should be 110° or 120°. In the em- 

 ployment of vaginal injections, too small a quantity 

 is usually made use of. From three to five gallons 

 should be used daily, and, as a rule, the temperature 

 should be as hot as can be borne without discomfort. 

 We know of no single method of treatment which is able 

 to accomplish so much in these cases as the hot vaginal 

 douche. It should be uniformly employed, and may 

 be continued several months with advantage. It should 

 be used as long as the leucorrheal discharge is present, 

 this being a symptom of local congestion, and one which 

 is more readily relieved by this means than any other. 



