. Surgery, its principles and practice . he severity of the symptomsis dependent upon the excitingcause and the form of the erection,company rupture of the erectile tissues, with extravasation of blood intothe cavernous envelop. Pain is proportionate to the amount of is difficulty in micturition, and occasionally retention is often accomplished only with difficulty. The penismay assume the upright position, coming in contact with the pubes,or it may be bent at an angle. When the symptoms subside, the penispresents a shriveled appearance, and complete erection
. Surgery, its principles and practice . he severity of the symptomsis dependent upon the excitingcause and the form of the erection,company rupture of the erectile tissues, with extravasation of blood intothe cavernous envelop. Pain is proportionate to the amount of is difficulty in micturition, and occasionally retention is often accomplished only with difficulty. The penismay assume the upright position, coming in contact with the pubes,or it may be bent at an angle. When the symptoms subside, the penispresents a shriveled appearance, and complete erection is impotence may follow. Phlebitis, thrombosis, gangrene,cellulitis, or abscess may complicate the condition and terminate indeath. The treatment in the temporary intermittent form consists in re-moving the source of irritation. When it results reflexly from operativeprocedures, rest, purgatives, and large doses of sodium bromid should1)6 prescribed. Morphin, the bromids, chloral, and belladonna are the VOL. IV—31. Fig. 251.—Reduction of Method (Fowler). 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 mult
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