394 THE DISEASES OF THE SEXUAL GLANDS 



consist in only a few sparse hairs at the root of the penis. Also the peri- 

 neum remains hairless. The involution of the thymus gland is slight. 



We know much less concerning the results, of castration in the youthful 

 female organism. According to the inexact statements of Roberts the 

 female castrates grow to be tall, the accessory apparatus of the genitalia 

 remain entirely undeveloped, the secondary sexual characters and the breasts 

 do not develop. With this rather agree the animal experiments of Hegar, 

 Kehrer, and others, and the observation on female eunuchoids that will be 

 mentioned later. 



2. Late Castrates 



Castration in man after the onset of puberty is carried out but very rarely. 

 In the most cases the indication for it is found in tuberculosis of the testicles. 

 Later, in late eunuchoidism, we will learn about the group that depends on a 

 traumatic foundation. As, however, in most of these cases the sexual glands 

 remain behind in the body and are only shrunken. I classify these cases 

 with later eunuchoidism, as it seems to me of like significance whether the 

 shrinking of the testicle is the result of a traumatic action or of another 

 disease process. 



If castration in man takes place at a relatively early age there occurs a 

 pronounced regressive alteration of the genital apparatus, and at least 

 a partial retrogression of certain secondary sexual characters, and finally a 

 distribution of fat that is similar to that of eunuchs. It is remarkable that 

 I was unable to find in the literature an exact description of such a late eu- 

 nuch. From the older literature I quote that of Martin: In war, a piece of 

 shell tore away the penis and testicles of a married man. Soon afterward 

 the man lost his beard and his breasts began to increase in circumference. 

 More frequently is found the statement that on castration in already fully 

 developed individuals a retrogression of an already developed accessory 

 genital apparatus and of the secondary sexual characters does not occur. 



A short time ago I was able to observe carefully a suitable case, and I 

 herewith report it: 



Observation XLVII. Kr. J., forty-nine years old. Entered the clinic July, 1912. 

 In the eighteenth year of life he had gonorrhea and bilateral orchitis. In the nine- 

 teenth year of life he acquired lues. In the twenty-first year of life there began a swell- 

 ing of the cervical lymphatic glands and at the same time a caries of the lower jaw; the 

 latter continuing three years and disappearing after operative procedure. In the twenty- 

 sixth year of life, both testicles were removed on account of tuberculosis. A year after 

 the operation the patient suffered with cardiac palpitations, that later disappeared. In 

 the thirty-seventh year of life he developed a goiter after a trip to the Steiermark, which 

 goiter later receded. For several years he has had attacks of typical bronchial asthma. 



Since the castration the patient has gradually gained about 30 kg. The potentia 

 coeundi still exists, but coitus is carried out but very rarely; ejaculation takes place, 

 but since the operation libido has been very slight. 



