The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . be either congenital, or acquired as theresult of inflammation or disease. In Congenital Phimosis, the penis is usually somewhat atrophied,and the development of the glans is prevented by the pressure of thenarrow prepuce. In congenital phimosis the skin is abundant and lax ;but the mucous lining of the prepuce is short, contracted, and unde-veloped. It is in this situation, and not in the skin, that the congenital. ACQUlEEl) PHIMOSIS. 889 defect is situated. In tlie majority of cnses tliis condi


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . be either congenital, or acquired as theresult of inflammation or disease. In Congenital Phimosis, the penis is usually somewhat atrophied,and the development of the glans is prevented by the pressure of thenarrow prepuce. In congenital phimosis the skin is abundant and lax ;but the mucous lining of the prepuce is short, contracted, and unde-veloped. It is in this situation, and not in the skin, that the congenital. ACQUlEEl) PHIMOSIS. 889 defect is situated. In tlie majority of cnses tliis condition is simply asource of local inconvenience; but it may become a cause of diseasefrom a variety of causes. Thus in children the reten-tion of tlie sebaceous secretion—the smegma preputii—under an elongated and tight foreskin, becomes asource of local irritation and inflammation from un-cleanliness. Tiie irritation thus kept up leads to localexcitement, and favors the development of the hal)it ofearly masturbation (Fig. 826). In some cases the pre-putial orifice is so tight as to interfere materially witiithe discharge of the urine, which passes from the ure-tiira into a kind of pouch between the glans and pre-puce, distends this structure, and is then squeezed in a- fine jet or in a scattered sprinkling stream through thenarrowed preputial orifice, as a consequence of this im-pediment: and irritability of the bladder, often pre- ^f, ?.7/41^^ ? . , *\ Congenital Phimo- senting symptoms simulatm


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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative