Gunshot injuries : how they are inflicted : their complications and treatment . th twenty-two deaths. The fatali-ties like those of the penis proper wereoften due to severe complications inadjoining anatomical structures. The uncomplicated cases werefatal from exhaustion, urinary infiltration, phlebitis, drygangrene, etc., causes that are more often preventable under presentmodes of treatment. The amount of lesion to the urethra from the military rifle bulletis not so extensive. The canal may be only partially, or it may beentirely cut across. The indications are to prevent extravasation of ur
Gunshot injuries : how they are inflicted : their complications and treatment . th twenty-two deaths. The fatali-ties like those of the penis proper wereoften due to severe complications inadjoining anatomical structures. The uncomplicated cases werefatal from exhaustion, urinary infiltration, phlebitis, drygangrene, etc., causes that are more often preventable under presentmodes of treatment. The amount of lesion to the urethra from the military rifle bulletis not so extensive. The canal may be only partially, or it may beentirely cut across. The indications are to prevent extravasation of urine in the sur-rounding tissues which is apt to result from mechanical impedimentto the free flow of urine. When practicable the opening in the ure-thra should be located and a soft catheter should be passed throughthe opening into the urethra as far as the bladder. If the flow isimpeded and retention takes place, suprapubic aspiration or incisionshould be practised after which the patency of the urethral outletshould be established. Drainage is the prime indication andwhen-. Fig. 123.—Ball excised from thepenis. Spec. 3146 1. Army MedicalMuseum collection. GUNSHOT WOUNDS OF THE ABDOMEN 299 ever necessary perineal section should be done. Wounds of theurethra from the reduced-caliber bullets in recent wars are said toheal readily with few complications. The occurrence of urethralfistula is treated in the usual way. Wounds of the Testicles.—Otis records 586 gunshot wounds of thetesticle with a mortality of per cent. The majority consisted oflacerated wounds of one or both testes with accompanying wounds ofneighboring parts like the penis, thighs, perineum, pelvis. Thedeaths were mostly due to the complicating wounds. Wounds of the testes are naturally influenced by the size of theprojectile and consequently wounds of the testicle and scrotum by thereduced caliber jacketed bullet exhibit small perforations, which healreadily. Injury to the testicle is attended with more o
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