136 



voluted excretory duct along the upper border of the testicle as to sug- 

 gest the presence of a second stone. Even in the more violent attacks 

 the intense suffering abates somewhat on the second or third day. If 

 it lasts longer it is likely to give rise to the formation of matter (ab- 

 scess). In exceptional cases the testicle is struck with gangrene or 

 death. Improvement may go on slowly to complete recovery, or the 

 malady may subside into a subacute and chronic form with induration. 

 Matter (abscess) may be recognized by the presence of a soft spot, 

 where pressure with two fingers will detect fluctuation from one to 

 the other. When there is liquid exudation into the scrotum, or sack, 

 fluctuation may also be felt, but the liquid can be made out to be 

 around the testicle and can be pressed up into the abdomen through 

 the inguinal canal. When abscess occurs in the cord the matter may 

 escape into the scrotal sack and cavity of the abdomen and pyemia 



may follow. 



Treatment consists in perfect rest and quietude, the administration of 

 a purgative (1 pound to 1^ pounds Glauber's salts), and the local appli- 

 cation of an astringent lotion (acetate of lead 2 drams, extract of bella- 

 donna 2 drams, and water 1 quart) upon soft rags or cotton wool, kept 

 in contact with the part by a suspensory bandage. This bandage, of 

 great value for support, may be made nearly triangular and tied to a 

 girth around the loins and to the upper part of the same surcingle by 

 two bands carried backward and upward between the thighs. In severe 

 cases' scarifications one-fourth inch deep serve to relieve vascular ten- 

 sion. When abscess is threatened its formation may be favored by 

 warm fomentations or poultices, and on the occurrence of fluctuation 

 the knife may be employed to give free escape to the pus. The result- 

 ing cavity may be injected daily with a weak carbolic acid lotion, or 

 satol may be introduced. The same agents may be used on a gland 

 threatened with gangrene, but its prompt removal by castration is to 

 be preferred, antiseptics being applied freely to the resulting cavity. 



SAECOCELE. 



This is an enlarged and indurated condition of the gland resulting 

 from chronic inflammation, though it is often associated with a specific 

 deposit like glanders. In this condition the natural structure of the 

 gland has given place to embryonal tissue (small, round cells, with a 

 few fibrous bundles), and its restoration to health is very improbable. 

 Apart from active inflammation, it may increase very slowly. The dis- 

 eased testicle is enlarged, firm, non-elastic, and comparatively insensi- 

 ble. The skin of the scrotum is tense, and it may be oederaatous (pit- 

 ting on pressure), as are the deeper envelopes and spermatic cord. If 

 liquid is present in the sack the symptoms are masked somewhat. 

 As it increases it causes awkward, straddling, dragging movement of 

 the hind limbs, or lameness on the affected side. The spermatic cord 

 often increases at the same time with the testicle, and the inguinal 



