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the scrotum。 The glans was riddled with holes； and numerous fistulae existed on the inferior surface of the urethra； the meatus being impermeable。 So great was the weight and hypertrophy that amputation was necessary。 John Hunter speaks of six strictures existing in one urethra at one time； Lallemand of seven； Bolot of eight； Ducamp of five； Boyer thought three could never exist together； Leroy D'Etoilles found 11； and Rokitansky met with four。
Sundry Injuries to the Penis。Fabricius Hildanus mentions a curious case of paraphimosis caused by violent coitus with a virgin who had an extremely narrow vagina。 Joyce relates a history of a stout man who awoke with a vigorous erection； and feeling much irritation； he scratched himself violently。 He soon bled copiously； his shirt and underlying sheets and blankets being soaked through。 On examination the penis was found swollen； and on drawing back the foreskin a small jet of blood spurted from a small rupture in the frenum。 The authors have knowledge of a case in which hemorrhage from the frenum proved fatal。 The patient； in a drunken wager； attempted to circumcise himself with a piece of tin； and bled to death before medical aid could be summoned。 It sometimes happens that the virile member is amputated by an animal bite。 Paullini and Celliez mention amputation of the penis by a dog…bite。 Morgan describes a boy of thirteen who was feeding a donkey which suddenly made a snap at him； unfortunately catching him by the trousers and including the penis in one of the folds。 By the violence of the bite the boy was thrown to the ground； and his entire prepuce was stripped off to the root as if it had been done by a knife。 There was little hemorrhage； and the prepuce was found in the trousers； looking exactly like the finger of a glove。 Morgan stated that this was the third case of the kind of which he had knowledge。 Bookey records a case in which an artilleryman was seized by the penis by an infuriated horse； and the two crura were pulled out entire。
Amputation of the penis is not always followed by loss of the sexual power and instinct； but sometimes has the mental effect of temporarily increasing the desire。 Haslam reports the case of a man who slipped on the greasy deck of a whaler； and falling forward with great violence upon a large knife used to cut blubber； completely severed his penis； beside inflicting a wound in the abdomen through which the intestines protruded。 After recovery there was a distinct increase of sexual desire and frequent nocturnal emissions。 In the same report there is recorded the history of a man who had entirely lost his penis； but had supplied himself with an ivory succedaneum。 This fellow finally became so libidinous that it was necessary to exclude him from the workhouse； of which he was an inmate。
Norris gives an account of a private who received a gunshot wound of the penis while it was partly erect。 The wound was acquired at the second battle of Fredericksburg。 The ball entered near the center of the glans penis； and taking a slightly oblique direction； it passed out of the right side of the penis 1 1/2 inches beyond the glans； it then entered the scrotum； and after striking the pelvis near the symphysis； glanced off around the innominate bone； and finally made its exit two inches above the anus。 The after…effects of this injury were incontinence of urine； and inability to assume the erect position。
Bookey cites the case of six wounds from one bullet with recovery。 The bullet entered the sole and emerged from the dorsum of the foot。 It then went through the right buttock and came out of the groin； only to penetrate the dorsum of the penis and emerge at the upper part of the glans。 Rose speaks of a case in which a man had his clothes caught in machinery； drawing in the external genital organs。 The testicles were found to be uninjured； but the penis was doubled out of sight and embedded in the scrotum； from whence it was restored to its natural position and the man recovered。
Nelaton describes a case of luxation of the penis in a lad of six who fell from a cart。 Nelaton found the missing member in the scrotum； where it had been for nine days。 He introduced Sir Astley Cooper's instrument for tying deeply…seated arteries through a cutaneous tube； and conducting the hook under the corporus cavernosum； seized this crosswise； and by a to…and…fro movement succeeded in replacing the organ。
Moldenhauer describes the case of a farmer of fifty…seven who was injured in a runaway accident； a wheel passing over his body close to the abdomen。 The glans penis could not be recognized； since the penis in toto had been torn from its sheath at the corona； and had slipped or been driven into the inguinal region。 This author quotes Stromeyer's case； which was that of a boy of four and a half years who was kicked by a horse in the external genital region。 The sheath was found empty of the penis； which had been driven into the perineum。
Raven mentions a case of spontaneous retraction of the penis in a man of twenty…seven。 While in bed he felt a sensation of coldness in the penis； and on examination he found the organ （a normal…sized one） rapidly retracting or shrinking。 He hastily summoned a physician； who found that the penis had； in fact； almost disappeared； the glans being just perceptible under the pubic arch； and the skin alone visible。 The next day the normal condition was restored； but the patient was weak and nervous for several days after his fright。 In a similar case； mentioned by Ivanhoff； the penis of a peasant of twenty…three； a married man； bodily disappeared； and was only captured by repeated effort。 The patient was six days under treatment； and he finally became so distrustful of his virile member that； to be assured of its constancy； he tied a string about it above the glans。
Injuries of the penis and testicles self…inflicted are grouped together and discussed in Chapter XIV。
As a rule； spontaneous gangrene of the penis has its origin in some intense fever。 Partridge describes a man of forty who had been the victim of typhus fever； and whose penis mortified and dried up； becoming black and like the empty finger of a cast…off glove； in a few days it dropped off。 Boyer cites a case of edema of the prepuce； noticed on the fifteenth day of the fever； and which was followed by gangrene of the penis。 Rostan mentions gangrene of the penis from small…pox。 Intermittent fever has been cited as a cause。 Koehler reports a fatal instance of gangrene of the penis； caused by a prostatic abscess following gonorrhea。 In this case there was thrombosis of the pelvic veins。 Hutchinson mentions a man who； thirty years before； after six days' exposure on a raft； had lost both legs by gangrene。 At the age of sixty…six he was confined to bed by subacute bronchitis； and during this period his whole penis became gangrenous and sloughed off。 This is quite unusual； as gangrene is usually associated with fever； it is more than likely that the gangrene of the leg was not connected with that of the penis； but that the latter was a distinct after…result。 Possibly the prolonged exposure at the time he lost his legs produced permanent injury to the blood…vessels and nerves o