PARALYSIS AND INJURIES OP THE PENIS. 659 



bandage is formed of a triangular piece of linen ; one angle lies on 

 either side of the penis, and is continued by a bandage, which is passed 

 over the animal's back and tied in a knot. The angle of the suspensory 

 bandage, directed backwards, is stitched to two pieces of linen, which 

 are passed between the hind legs, brought upward and forward, and 

 finally united with the transverse strips. 



It is advisable to place a pad of tow, jute, or wadding next the 

 penis to support it and prevent chafing. The pad must be renewed 

 when soiled with urine, and the linen cleansed or replaced from time 

 to time. The pad may be soaked in acetate of lead or alum solution, 

 and occasionally moistened with the same fluid. 



In old painless swellings, especially swellings of the prepuce, 

 massage is recommended. The swelling can be kneaded daily for 

 five to ten minutes at a time ; but to avoid injury, the parts should 

 previously be smeared with fat. Attempts can then be made to 

 return the penis, and if it again protrudes it maybe held in position 

 by passing a couple of stitches through the sheath. 



To lessen the size of the glans and thus facilitate its return, an 

 elastic bandage may be used. The parts are cleansed, several turns 

 of the bandage applied to the glans, and left in position for a few 

 minutes. In very severe swellings this may need to be repeated 

 two or three times. The glans is then either drawn back or, after 

 being douched with cold water, may be returned to the prepuce. 

 This method can be recommended. 



In case the preputial swelling still persists, benefit sometimes 

 results from scarification and bathing with such astringents as 

 solution of alum or acetate of lead. Needless to say, a suspensory 

 bandage must be worn during massage treatment. Failing improve- 

 ment by any of these methods, a portion of the prepuce may be 

 amputated. The animal is placed on its back, the penis drawn 

 forwards as far as possible, the prepuce cleansed, and the preputial 

 swelling isolated by multiple silk ligatures in the manner usual in 

 ruptures and new growths ; the swelling itself is then removed with 

 knife or scissors. Haase and others have frequently seen the best 

 results from this treatment ; the penis remained in position, and the 

 inflammation consequent on operation was so slight as to require 

 no treatment. 



In paralysis of the penis, massage of the retractor penis muscle 

 between the anus and scrotum may be tried ; injections of veratrin, 

 strychnine, or similar nerve stimulants might possibly prove useful. 

 The paralysed penis is shielded from external injury by applying 

 a suspensory bandage. In case of need, it can be amputated. 



