Identifier: practicalworking00doug (find matches)
Title: A practical working handbook in the diagnosis and treatment of diseases of the genito-urinary system, and syphilis : being the revised and enlarged notes, with additions
Year: 1897 (1890s)
Authors: Doughty, F. E. (Francis E.) Holden, George Parker
Subjects: Genitourinary organs Urogenital Diseases Homeopathy
Publisher: Philadelphia : Boericke & Tafel
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ary labia minora, and from time to time thereis discharged a small amount of sticky fluid. Thescrotum is split, and in each side is a testicle or anovary. At the bottom of this cleft is the opening ofthe vagina, covered with a very thin, distensible mem-brane, which can be pushed into the vaginal canal foralmost two inches. About every four to six weeksthere is a flow of blood from the nose, and a few dropsexude over the membrane at the vaginal orifice.Sexual desire is felt, but most pronounced when themembrane—which might represent the hymen—ispressed into the vagina. Two years ago I had a somewhat similar case withDr. Wet more, where the man had a beard, small breastsand a harsh voice. In this case the preponderance ofevidence seems to be in favor of placing the patientamong the female rather than the male sex. 4I2 doughtys genitourinary diseases. ELEPHANTIASIS OF SCROTUMAND PENIS.* The patient was a man aged 38, German by birth.He had always been well up to the time this growth
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started, which was in his 25th year. There was nohistory of injury to the parts. The growth startedsimultaneously in both penis and scrotum. It gavehim no trouble, but continued to enlarge for twelve * From The Chironian, April 14, 1894. HERMAPHRODITISM AND ELEPHANTIASIS. 413 years. During the last year he has noticed no furtherenlargement. It was never painful. He had nodifficulty in micturition, and at times had erections.The glans and corpus were of a normal size, andthe former could be seen by raising the large hyper-trophied foreskin. On palpitation, the right testiclecould be defined, but on the left side none could befound, The dimensions of the parts were as follows:circumference of penis, 10^ inches; length of penis,7^ inches; circumference of scrotum, i8)( inches.The man was presented to the class at ProfessorDoughtys clinic on Saturday, December 9, 1893, andadmitted to the hospital. He was operated upon onDecember 30th. Professor Doughty, assisted by Professors Helmuthand W

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