DISEASES OF THE GENERATIVE ORGANS. 345 



rives an increased supply of blood and is thereby stimulated 

 to more rapid swelling. The subject walks stiffly, with 

 straddling gait, loses appetite, and has a rapid pulse and 

 high fever. Examination of the wound discloses the partial 

 closure of the skin wound and the protrusion from its lips of 

 the end of the cord red, tense, and varying in size from a 

 hazelnut upward. If there is no material swelling and little 

 protrusion the wound may be enlarged with the knife and 

 the end of the cord broken loose from any connection with 

 the skin and pushed up inside. If the swelling is larger the 

 mass constitutes a tumor and must be removed. (See below ) 



SWELLING OF THE SHEATH, PENIS, AND ABDOMEN. 



This occurs in certain unhealthy states of the system in 

 unhealthy seasons, as the result of operating without cleans- 

 ing the sheath and penis, or of keeping the subject in a filthy, 

 impure building, as the result of infecting the wound by 

 hands or instruments bearing septic bacteria, or as the re- 

 sult of premature closure of the wound and imprisonment of 

 matter. 



Pure air and cleanliness of groin and wound are to be 

 secuied. Antiseptics, like the mercuric chloride lotion (I 

 part to 2,000), are to be applied to the parts; the wound, if 

 closed, is to be opened anew, any accumulated matter or 

 blood washed out, and the antiseptic liquid freely applied. 

 The most tense or dependent parts of the swelling in sheath 

 or penis, or beneath the belly, should be pricked at intervals 

 of three or four inches and to a depth of half an inch and 

 antiseptics freely used to the surface. Fomentations with 

 warm water may also be used to favor oozing from the inci- 

 sions and to encourage the formation of white matter in the 

 original wounds, which must not be allowed to close again at 

 once. A 'free, cream-like discharge implies a healthy action 

 in the sore, and is the precursor of recovery. 



PHYMOSIS AND PARAPHYMOSIS. 



In cases of swelling, as above, the penis may be impris- 

 oned within the sheath (phymosis) or protruded and swollen 

 so that it cannot be retracted into it (paraphymosis). In 



