An American text-book of genito-urinary diseases, syphilis and diseases of the skin . where gas is generated in connection with bacterialfermentation. The benign form gets well spontaneously. For the malignantform incision, drainage, and thorough disinfection should be attempted. Gangrene in this part may be associated with extreme and prolongedforms of edema occurring in the course of debilitating diseases in whichdropsy is a feature; also, secondarily to urinary extravasation and after trau-matisms. In such instances the gangrenous process is usually of limitedextent and of minor importance.
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . where gas is generated in connection with bacterialfermentation. The benign form gets well spontaneously. For the malignantform incision, drainage, and thorough disinfection should be attempted. Gangrene in this part may be associated with extreme and prolongedforms of edema occurring in the course of debilitating diseases in whichdropsy is a feature; also, secondarily to urinary extravasation and after trau-matisms. In such instances the gangrenous process is usually of limitedextent and of minor importance. There is, however, a form of gangrene inthis connection which occurs occasionally and which exhibits marked charac-teristics. This form is called spontaneous gangrene. It appears suddenlyand with little or no warning. The scrotum quickly swells, often to a greatsize. At first it is red. This color, however, rapidly becomes dusky, andsoon the parts markedly involved become dark gray or black. After a dayor so the line of demarcation forms, and then gradually the lifeless tissues 1. Fig. 60.—Gangrene of the scrotum (Allen). slough off, leaving one or both testicles, according to the extent of the slough,exposed. Sometimes this destructive process is so extensive as to involve thepenis as well as the scrotum. The exact cause for this form of gangrene isnot known, though it is probably of bacterial origin. It occurs mostly inthose addicted to alcoholic excesses, making its appearance directly after orduring a prolonged debauch. Some of these cases are complicated by anemphysema. Surgical treatment in these conditions should always be mostconservative. General supporting measures should be employed, togetherwith careful attention to nutrition. The scrotum should be supported, dis- THE SCROTUM. 215 infected, and enveloped in charcoal poultices. Necrosed masses should beremoved as fast as they become detached. They should not, however, be cutaway along the line of demarcation, lest
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
