222 Diseases of the Genital Organs 



ease, important hymeneal remnants, vaginal stricture, or 

 other obstacles to the passage of the penis into the vagina, 

 tends constantly to cause the penis to be violently bent, most 

 readily at the base of the glans, where the encircling pre- 

 puce is attached. At the same moment the prepuce is per- 

 haps overstretched. 



Both penis and prepuce become inflamed, swollen, and 

 sensitive. Protrusion of the penis becomes very difficult or 

 impossible. Frequently the pain is too great to permit copu- 

 lation. The swelling and the pain about the base of the 

 glans are very marked. 



The prognosis is good. The bull usually recovers anato- 

 mically and functionally. Exceptions may occur, owing to 

 chronic irregular induration of the corpus cavernosum, 

 which causes the penis to become bent in such a manner 

 that copulation becomes difficult or impossible. Such in- 

 juries to the penis are preventable where the causes are 

 recognizable in advance. Once they have occurred, the 

 handling consists fundamentally of sexual rest and anti- 

 sepsis. The sexual rest should be as complete as practicable 

 without unnecessarily curtailing physical exercise. On no 

 account should attempts at copulation be permitted until re- 

 covery appears to be complete. Since in the bull the pre- 

 puce is nearly always involved, it should be kept clean. In 

 addition, warm douches exert a favorable action upon the 

 inflamed penis. The douche should consist of warm physi- 

 ologic salt solution or a very weak, warm, antiseptic liquid, 

 as a 0.25 per cent. Lugol's solution. The salt solution douche 

 may be repeated twice daily, or as frequently as may be de- 

 sired in an individual case. The Lugol's solution can not as 

 a rule be applied more than once, or at most twice daily, 

 without causing irritation. If the parts are very irritable, 

 iodoform suspended in oil may be used instead of the 

 douches. 



The best instrument for applying the douche is the soft 

 rubber catheter seven feet in length, designed specially for 

 this purpose. Or one may substitute for this the rubber 



