CASTRATION AND SPAYING 253 



swelling encroaches upon the sheath cavity and thus actu- 

 ally forces the penis out, 'where it remains until the cedema 

 diminishes sufficiently to re-admit it to its normal position. 

 The second is paraphimosis from funiculitis. The cords be- 

 come swollen and painful, and the penis is protruded to 

 accommodate them. Generally the protrusion does not per- 

 sist for more than two or three days, but in some instances 

 the prepuce becomes so cedematous in this pendulous posi- 

 tion that reduction becomes impossible until the swelling 

 disappears. 



The treatment of prolapse of the penis must begin 

 promptly, and must continue incessantly until a cure is 

 effected, in order to intercept serious consequences. ^ The 

 cedematous swelling of the sheath and of the prepuce*!nay 

 become so large as to obstruct the nutrient, vessels and 

 cause gangrene, or to press upon the urethra and prevent 

 micturition. The first evidence of paraphimosis is met by 

 first bathing the swollen parts with .hot water and J:hen 

 wrapping the protruding organ with muslin bandages 

 soaked with astringents (ten per cent tannic acid). The baji- 

 daged penis, especially if the prolapse is long and the swell- 

 ing large, may then be supported against the abdomen by 

 body bandages passing over the loins. A sling made of 

 heavy leather, rubber belting, thick canvas, or linoleum, 

 supported by appropriately adjusted body bands, may be 

 improvised and used to good advantage. The object is to 

 support the now heavy organ whose weight aggravates the 

 condition, and whose position subjects it to exposure and 

 injury. 



Scirrhous Cord is a progressive sclerosis of ttee pS#t 

 of the spermatic cord that remains in the inguinal canal. 

 Pathologically, it may be correctly classed as a cold abscess 

 due to microbes that gain access to the exposed field at the 

 time of castration or during convalescence from the opera- 

 tion, and there implant themselves as the seeds of the future 

 growth which then evolves rapidly or slowly. Although it 

 generally presents itself to the practitioner a short time 

 after the operation in the form of a castration wound that 

 is refusing to behave in the usual manner by healing up 

 promptly, there are numerous instances where the evolu- 

 tion is so slow that nothing abnormal is noticed for years, 

 when rather suddenly an cedema of the sheath accompanied 

 with manifestations of pain in the inguinal region announces 

 the existence of a previously unsuspected tumefaction of the 

 scrotum. This is a scirrhous cord ; the real entity. The 



