PARAPHYMOSIS. 531 



tant fever, and there was return of appetite. Four additional scarifica- 

 tions were made. The morning after, the yard had begun to recede 

 within its sheath, and in two days more the colt was well. 



To M. Le(;oq occurred the case of a stallion who had escaped during the 

 night from a field wherein he was turned, and got into an enclosure 

 where there were some mares. The next morning he was found with his 

 penis greatly swollen, and with difficulty in passing his urine. The 

 protruded yard was curved from before backward, and exceeded in volume 

 a man's head ; it also felt hot, and pressure upon it caused pain, though 

 the horse bore its being handled. The testicles were not affected. The 

 pulse was full, and quicker than natural. Lecoq was not called in until 

 the third day after the accident had happened. The enormous amount of 

 tumefaction forbidding all hope of resolution, M. Lecoq made five incisions 

 upon the anterior surface of the penis, each about eight centimetres in 

 length and three in depth. From these, blood, mingled with serous 

 effusion, issued in tolerable abundance, and, through the aid of fomenta- 

 tion, continued for four hours, thus superseding all necessity for general 

 bloodletting. The next day, the tumefaction, though diminished, still 

 being considerable, four fresh incisions, of less length and depth, were 

 made between the former ones. The day after, the penis was not half the 

 size, and the pulse was normal. Suppuration soon commenced, after 

 which the wounds rapidly healed and cicatrized. 



'* We might probably obtain the same result by the ap- 

 plication of a great many leeches, cold lotions, and strict 

 regimen : to which might be added, general bloodletting, 

 should it be required. In regard to scarifications, they 

 ought always to be made Icmjthwlse, and along the superior 

 and lateral parts of the penis, so as to run no risk of punc- 

 turing the urethra. Exercise, when the case permits it, will 

 likewise prove useful. In scarifying the slieath let the inci- 

 sions be sufficiently deep to penetrate it, and extensive enough 

 to set the penis at liberty. We need not be afraid of making 

 scarifications too lengthy, inasmuch as they become small 

 enough on the parts recovering their natural volume. 



" Should not these measures prove of avail in procuring 

 or rendering spontaneous the return of the penis within its 

 sheath, they will, at all events, diminish pain and inflam- 

 mation, and facilitate the steps next to be taken for its re- 

 duction : in fact, proceeding to any operation without such 

 preparatory means miglit make the case a groat deal worse 



