A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . s of the Penis. Ordinary injuries call for no spe-cial discussion. Rupture of thesheath of one or both cavernousbodies may occur, as the result ofmechanical violence when the penisis erect. This is sometimes calledfracture of the penis. It is a graveinjury. Erection subsides at once,and extravasation of blood occursinto the tissues of the penis andperhaps into those of the scrotum and abdomen. The urethra maybe ruptured at the s
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . s of the Penis. Ordinary injuries call for no spe-cial discussion. Rupture of thesheath of one or both cavernousbodies may occur, as the result ofmechanical violence when the penisis erect. This is sometimes calledfracture of the penis. It is a graveinjury. Erection subsides at once,and extravasation of blood occursinto the tissues of the penis andperhaps into those of the scrotum and abdomen. The urethra maybe ruptured at the same time and this may cause extravasation ofurine. Pain, shock and nausea may be excessive. Suppuration andgangrene may occur. Traumatic stricture of the urethra and a de-formed cicatricial penis may result from the injury. Free incisionsshould be made into the organ to give vent to the extravasated bloodand urine, and the ordinary measures for treating traumatic inflamma-tion should be adopted. Excision or Amputation of the Penis. This operation is done for malignant disease. A rubber band orpiece of gauze is tied around the base of the organ to prevent hemor-. i ^ Epithelioma of penis (Ashhukst.) ] 772 DISEASES OF THE REPRODUCTIVE ORGANS. rhage. A circular amputation is then done, but the urethra is leftabout a half inch longer than the cavernous portions of the lower wall of the urethra is then split and its edges stitched tothe skin at the sides and above. This prevents cicatricial stricture ofthe meatus. A catheter may be kept in the urethra and bladder fora day or two if necessary. If the amputation is done close to thepubes, as may be necessary in malignant disease, the patient may usea short catheter when he desires to urinate to avoid soiling his cloth-ing. Instead of this he may have a perineal meatus formed so thathe can urinate easily in the sitting posture. To do this, a medianurethrotomy is made in the perineum and the urethral tube isolated,divided, and
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