. A manual of operative surgery . e vesical neck or prostate is oftenpresent at the same time as the diseaseof the vas deferens, and that spontaneousrecovery from both is not infrequent,the arguments in favour of combinedperineal and inguinal operations areseen to be but feeble. The operationwas described in the Gazette des Hopitaux, Oct. 15th, 1898,and also in the Bull, de la Soc. Anatomique, 1898, p. 603. Mr. Rickman Godlee (Bradshaw Lecture, Dec. 14th, 1907)endorses the conservative view given above, whilst perhapsunderrating the difficulty of the operation. Speaking of tuber-culous disease
. A manual of operative surgery . e vesical neck or prostate is oftenpresent at the same time as the diseaseof the vas deferens, and that spontaneousrecovery from both is not infrequent,the arguments in favour of combinedperineal and inguinal operations areseen to be but feeble. The operationwas described in the Gazette des Hopitaux, Oct. 15th, 1898,and also in the Bull, de la Soc. Anatomique, 1898, p. 603. Mr. Rickman Godlee (Bradshaw Lecture, Dec. 14th, 1907)endorses the conservative view given above, whilst perhapsunderrating the difficulty of the operation. Speaking of tuber-culous disease he writes : Removal of the vesicula, either bya posterior or a perineal incision, is not difficult and is not to berecommended. Erasion of the Tuberculous Epididymis.—In removing thewhole organ the surgeon is often taking away much more thanis actually diseased, for in the majority of cases the testis properwill be found to be free from tubercle. It is the epididymisand the vas which are involved with so-called crude tubercle,. FIG. 100.—TUBERCULOUSDISEASE OF THE TESTICLE. (Lopidon Hospital, Museum.) chap, xxvn] ERASION OF THE EPIDIDYMIS 687 whilst occasionally the testis becomes affected with miliarydeposit. Hence a very thorough erasion and excision of allthe tuberculous foci will often suffice, and the testis itself maybe safely retained. We have operated in some cases in whichthe whole epididymis and several inches of diseased vas deferenswere excised. The patients on whom epididymectomy wasthus performed have some of them been followed up for years,
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