152 VETERINA.KY MEDICINE AND SUKGERY. 



inflammatory, antiplilogistics, fomentations, and perhaps scarifications; if 

 cedematous, scarifications, frictions with the hand, exercise, diuretics, or 

 purgatives, as tlie case may be; and when associated witli debilitating dis- 

 eases, tonics and good food. Cold fomentations are generally of great 

 service. 



PARAPHIMOSIS. 



The penis is protruded in paraphimosis, and cannot be withdrawn 

 within the sheath. 



Etiology. — It may arise from a weakened condition of the penis, 

 sometimes associated with debilitating diseases, or a paralysis sui generis, 

 or from swelling of the glans penis, with protrusion and enlargement of 

 it, arising from an accident or castration; the sheath forming a tight con- 

 striction around it, and preventing its retraction. It may also be caused 

 by excessive venereal action, continued friction against the mare before 

 coition, kicks from vicious females, or blows of a stick. *'The penis 

 paraphimosed " (says D'Arboval) *' appears protruded out of its sheath 

 to the extent of half a foot, swollen to the size, perhaps, of a man's 

 thigh, evidently in consequence of effusion into the cellular tissue of its 

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

 circular contractions, which, when excessive, are productive of congestion 

 of the organ (Fig. 72). Its extremity, the part most tumefied,, turns of a 



Fig. 72. 

 The penis in paraphimosis. 



red-brown; violent inflammation accompanies all this, and the consequent 

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

 the urine gets a j^assage, though, should the inflammation run very high, 

 and spread to the body of the penis, gangrene may be the result." 



