. Surgery, its principles and practice . er). The most distressing symptoms ac- 482 SURGERY OF THE PENIS AND URETHRA. only remedies that are useful. A cold moist sedative dressing should bekept constantly applied. Retention of urine calls for catheterism. When due to extravasation of blood, free incision will give promptrelief and may effect a cure. In chronic cases early operation affordsmost gratifying results. A small incision is made into the most turgidportion of the organ, at seat of pain, or into the nodular masses, whenthese exist. Fibrous Sclerosis of the Cavernous Bodies and CorpusSp
. Surgery, its principles and practice . er). The most distressing symptoms ac- 482 SURGERY OF THE PENIS AND URETHRA. only remedies that are useful. A cold moist sedative dressing should bekept constantly applied. Retention of urine calls for catheterism. When due to extravasation of blood, free incision will give promptrelief and may effect a cure. In chronic cases early operation affordsmost gratifying results. A small incision is made into the most turgidportion of the organ, at seat of pain, or into the nodular masses, whenthese exist. Fibrous Sclerosis of the Cavernous Bodies and CorpusSpongiosum.—This condition is due to the development of fibrousmasses on the sheath, septum, or erectile tissue of the corpora cavernosaor corpus spongiosum. The most common form of this affection arisesinsidiously, without any apparent cause. Any portion of the cavernous body may be iuAolved. The massesmay be unilateral, bilateral, or multiple. Usually there is a singlegrowth, situated near the dorsum of the penis. The nodular mass de-. FiG. 252.—Horn of Penis (Demarquay). velops slowly, and ultimately terminates in distortion and deformity ofthe organ, which, during erection, tends to curve toward the abdomen orto bend at right angles or in the direction of the affected side. The dis-comfort thus produced is the only symptom, although pain is occasionallypresent in the incipient stage, or in long-standing cases when turgescenceoccurs. In chronic cases organic impotence develops. It usually ap-pears between the ages of forty-five and sixty, and is not so rare as isgenerally supposed. The prognosis is discouraging, no form of treatment having beenfollowed by beneficial results. The sexual disability occasionally givesrise to melancholia, and the character or disposition may undergo markedchange. Fibrous and Osseous Transformation of the Penis.—This con-dition is extremely rare, and little is known regarding its bony patches may be. single or multiple, and vary
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