. Surgery, its principles and practice . an aid to diagnosis as well as a means of treatment. It shouldbe given in 10-grain doses three times a day, the dose being gradually in-creased from 1 grain to 5 grains a day, depending upon how well it is increase is continued progressively until the patient is taking from100 to 300 grains daily. The syphilitic swelling, as a general thing, rapidly melts away under this treatment. In long-standing cases it is probablethat the function of the organis usually lost. After theswelling has disappeared amercurial course should begiven either by inu
. Surgery, its principles and practice . an aid to diagnosis as well as a means of treatment. It shouldbe given in 10-grain doses three times a day, the dose being gradually in-creased from 1 grain to 5 grains a day, depending upon how well it is increase is continued progressively until the patient is taking from100 to 300 grains daily. The syphilitic swelling, as a general thing, rapidly melts away under this treatment. In long-standing cases it is probablethat the function of the organis usually lost. After theswelling has disappeared amercurial course should begiven either by inunction orhypodermic injection. The other causes of chronicinflammation, such as leprosyand actinomycosis, seldominvolve the testis. 1 have metwith one case of actinomycosisof the testis in a case of lungactinomycosis. In this case,of course, the testicle becameinfected through the circula-tion. An abscess involvingthe epididymis was openedand drained and the disease of the testicle cleared up under large dosesof the iodid of Fig. -Ulcerating Gumma OF the Left Testicle(Saint-Louis, Le Dentu). SPERMATOCELES; RETENTION CYSTS OF THE TESTICLE AND EPIDIDYMIS. Spermatoceles are cysts containing fluid in which spermatozoa arefound. They are situated most frequently in the neighborhood of thehead of the epididymis, and are often placed between this and the testisproper. They vary in size from the size of a plum to the size of an egg,seldom larger, although a few cases are reported which contained a pintor more of fluid. It is believed that they originate in some of the fetal remains aboutthe testicle and epididymis. These fetal remains are the so-calledappendices of the epididymis and testicle (the hydatids of Morgagni,both the sessile and pedunculated; the paradidymis or organ ofGiraldes and the vas aberrans and the vas du rete). From any of thesefetal structures a retention cyst can develop. As a rule, such cysts con-tain spermatozoa, although these cells may be abse
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