PRACTICAL CRYPTOBCHID CASTRATION 59 



that present themselves to the fingers will soon 

 reward the operator by a discovery of the cord or 

 testicular parts. If in doubt, bring the structure 

 down the canal and examine it by the sense of 

 sight. Remember that some of the structures 

 wanted are just inside the opening and that a 

 little patience will reveal them. 



The time-worn quack story about going up to 

 the diaphragm and the spine to find the testicle 

 is to be forgotten. It is for the edification of the 

 laity only. I have never found it of value to use 

 the gubernaculum as a guide in finding the testi- 

 cle. Some parts of the epididymis, cord or testicle 

 presents itself invariably upon entering the peri- 

 toneal cavity, and rarely indeed is the slightest 

 search required. 



Removal of the Testicle.— The testicular 

 structures having been located and recognized, 

 they are brought down the canal and removed. 

 This is usually an easy matter. The testicle and 

 epididymis are drawn down by the fingers until 

 an emasculator can be applied. It is well to have 

 at hand an ecraseur to use in case the cord struc- 

 tures are so short that the testicle cannot be 



