The practice of surgery . nt when Due to Bilateral Epididymitis, Boston Med. and Surg. 8, 1906. GONORRHEA 439 didymis and testicle become extremely diseased, the contents of thescrotum breaking down into a suppurating mass. In such case ourresort is orchidectomy. Sometimes, in the case of recurrent epididy-mitis, section of the vas deferens is necessary. Acute prostatitis may be treated, when fresh, by instillations of 20per cent, argyrol. I have already, in Chapter XIV, considered thefurther progress of prostatitis. Gonorrheal bubo, or infection of the inguinal lymph-nodes, is


The practice of surgery . nt when Due to Bilateral Epididymitis, Boston Med. and Surg. 8, 1906. GONORRHEA 439 didymis and testicle become extremely diseased, the contents of thescrotum breaking down into a suppurating mass. In such case ourresort is orchidectomy. Sometimes, in the case of recurrent epididy-mitis, section of the vas deferens is necessary. Acute prostatitis may be treated, when fresh, by instillations of 20per cent, argyrol. I have already, in Chapter XIV, considered thefurther progress of prostatitis. Gonorrheal bubo, or infection of the inguinal lymph-nodes, is a notuncommon complication of gonorrhea. If the case be taken promptlyand proper remedies be applied, this adenitis will subside without specialtrovible. The proper remedies consist in active treatment of the urethraand in painting the bubo with tincture of ioclin, putting on three or fourcoats every fourth night. If the bubo suppurates, it must be openedand packed. Of course, the hair in the groin should be shaved I- - ..3E Fig. 270.—Paraphimosis. Balanitis and posthitis are inflammations of the glans and prepuce,and are due to an extension of the gonorrheal process from the proper cleanliness such complications should be forestalled. Thesurgeon may treat them by directing the patient to draw^ back theprepuce two or three times a day, to soak the penis in a warm solutionof creolin and water, and to dust the glans with a drying powder ofequal parts of borax and zinc oxid, to which, if you choose, a quarterpart of powdered opium may be added. If there be actual ulceration,powdered iodoform makes an excellent application in spite of its disagree-able odor. Phimosis and paraphimosis are akin. Phimosis is the result ofinflammation of the prepuce, an inflammation so severe that the prepucebecomes distended and its orifice narrowed, so that it cannot be drawn 440 GENITO-URINAKY ORGANS back over the glans. As a result, secretions accumulate beneath it anda foul con


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910