530 DISEASES OF THE ORGANS OF GENERATION. 



a, view of inducing staling ; from the penis becoming loaded 

 with warts, or scirrhous or other excrescences. Chabert 

 saw a stallion with an enormous paraphymosis^ and having 

 involuntary discharges of semen, occasioned by fretting and 

 harassing himself during the night after other horses. 



" The penis, paraphymosed, appears, with its glans, 

 evolved out of its sheath to the extent of about half a foot, 

 swollen to the size, perhaps, of a man^s thigh, evidently the 

 consequence of effusion into the cellular tissue of its enve- 

 lopes, curved in the form of an arc, and knotted from partial 

 circular contractions, which, when excessive, are productive 

 of coldness of the organ. Its glandular extremity, the part 

 most tumefied, turns of a red brown. Violent inflamma- 

 tion accompanies all this, and the pain consequent on it is 

 extreme. For all there is so much swelling, however, in 

 general the urine works a passage. Still, should the in- 

 flammation run very high, and spread over the body of the 

 penis, gangrene is not unlikely to be the result.''^ 



Treatment. — In favorable cases, cold bathing in some 

 river or lotions of iced water may be all that may be re- 

 quired to effect the reduction of the penis : caution, how- 

 ever, is necessary in the use of these means. In other 

 cases, emollient remedies succeed best, and particularly in 

 such as are the consequence of inflammatory engorgement, 

 from continued erection, or from the irritation of covering. 

 Should the protruded portion of the penis be very much 

 inflamed and painful, vapour baths may be employed to it, 

 and emollient poultices be applied, with the help of the sus- 

 pensory bandage. These means prove of no avail, however, 

 when the paraphymosis is extreme : local bloodlettings by 

 leeches or scarifications must in this case be adopted : free 

 evacuation of l)lood being the only thing to efffect a reduc- 

 tion, either spontaneously or with assistance from the 

 practitioner. 



M. Dehan attended a colt, four months old, for paraphymosis, with 

 extreme tumefaction. He made eight pretty extensive incisions into the 

 swollen parts, which produced an abundant issue of blood. The following 

 morning the swelling was considerably reduced, as well as the concomi- 



