. Surgery, its principles and practice . the body of the organ is affected, the formation of the line of de-marcation should be awaited before amputating. Opium should beadministered to relieve pain and quiet sexual excitement. Hypertrophy of the Penis.—Hypertrophy of the entire organis extremely rare, and occurs generally as a sequel to a chronic in-flammation of the lymphatic vessels of the penis or of the inguinal may be localized or general. In the localized form the structures usually affected are the prepuce and the neigh-boring integument,which become thick-ened and de
. Surgery, its principles and practice . the body of the organ is affected, the formation of the line of de-marcation should be awaited before amputating. Opium should beadministered to relieve pain and quiet sexual excitement. Hypertrophy of the Penis.—Hypertrophy of the entire organis extremely rare, and occurs generally as a sequel to a chronic in-flammation of the lymphatic vessels of the penis or of the inguinal may be localized or general. In the localized form the structures usually affected are the prepuce and the neigh-boring integument,which become thick-ened and dense. Thereis no pain or discom-fort. A general hyper-trophy may follow thelocalized variety, andinflammation of thelymphatics of thepenis, accompanied bysuppuration of theinguinal glands, mayensue. Treatment.—Inthe localized varietyfrequent immersionsin hot water andsmall doses of mer-cury bichlorid given in conjunction with sodium iodid are useful. Stric-ture requires dilatation or division. In the general form treatment Fig. 248. -Hypertrophy of the Penis from Injury to theLymphatic Vessels. Double Bubo. CONTUSIONS, WOUNDS, AND INJURIES OF THE PENIS. These may vary from a trivial abrasion to complete destruction oreven ablation of the entire organ. Contusions.—These are usually caused b}^ direct injury or bypressure. The symptoms, when the injury has been slight, consist of numbness,pain, and swelling; when severe, swelling and discoloration appear earlyand are diffuse. The prepuce generally becomes enormously distended,giving rise to phimosis and painful erections. Treatment.—In slight contusions no treatment is required. Insevere cases, or in debilitated or elderly patients, hot applications arepreferable to cold. When there is evidence that extravasation of blood CONTUSIONS, WOUNDS, AND INJURIES OF THE PENIS. 477 is taking place and cannot be controlled by ordinary means, the contusedarea must be incised, clots removed, bleeding A-essels ligated, and th
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