DISEASES OF THE GENERATIVE ORGANS. 165 
cases the scanty urine may be reddish and the swelling may extend 
to the skin and envelopes of the testicle, which may become thickened 
and doughy, pitting on pressure. The swelling may be so much 
greater in the convoluted excretory duct along the upper border of 
the testicle as to suggest 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 liable to give rise to the 
formation of matter (abscess). 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 exu- 
dation into the scrotum, or sac, 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 sac 
and cavity of the abdomen and pyemia may follow. 
' Treatment consists in perfect rest and quietude, the administration 
of a purgative (1 to 14 pounds Glauber’s salt), and the local appli- 
cation of an astringent lotion (acetate of lead 2 drams, extract of 
belladonna 2 drams, and water 1 quart) upon soft rags or cotton wool, 
kept in contact with the part by a suspensory bandage. This band- 
age, 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 sur- 
cingle by two bands carried backward and upward between the 
thighs. In severe cases scarifications one-fourth inch deep serve to 
relieve vascular tension. When abscess is threatened its formation 
may be favored by warm fomentations or poultices, and on the occur- 
rence of fluctuation the knife may be used to give free escape to the 
pus. The resulting cavity may be injected daily with a weak car- 
bolic-acid lotion, or salol 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. 
SARCOCELE. 
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 struc- 
ture 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 diseased testicle is enlarged, firm, nonelastic, and com- 
