Identifier: completepractica00bost (find matches)
Title: A Complete practical work on the nature and treatment of venereal diseases, and other affections of the genito-urinary organs of the male and female ..
Year: 1848 (1840s)
Authors: Bostwick, Homer
Subjects: Sexually transmitted diseases
Publisher: New York, Burgess, Stringer & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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current of thecirculation, may give rise to this affection. This may be a relaxation of the coats ofthe veins themselves ; a tumor situated in such a position as to make pressure upon 333 334 CIRCOCELE. — TREATMENT. the cord, a truss worn for hernia, long standing, walking, riding on horseback, violentefforts of the body, great exertions of the lungs, and whatever else has the effect ofinterrupting or augmenting the circulation in the parts. It has been mistaken for omental hernia. The history of the case will guide usin distinguishing between them. In circocele, the swelling, in the first instance, isnot noticed at the abdominal ring. If the patient be laid in a horizontal posture, andpressure applied, the swelling will disappear. By placing, now, the finger firmlyupon the ring, with so much force as to impede the circulation, and requesting thepatient to rise, if it be circocele, the swelling will return with increased size —but ifit be hernia, no perceptible change takes place.
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Operation for tying the spermatic artery. TREATMENT. Should the disease be produced by the pressure of a truss, the remedy, of course,is to remove or so adjust it to the inguinal ring, as to relieve the cord. If by atumor, all our efforts must be directed to its absorption, which frequently may beattained by frictions of mercury or iodine made directly over the spot. The scrotum VARICOCELE. 885 is to be placed in a suspensory bandage, to favor the return of the blood ; and some-times, particularly if there be any tendency to inflammation, leeches or scarifications will prove of much service. The patient should observe the horizontal posture, avoidall physical efforts, and apply cold lotions. The operation of tying the spermatic artery, has been successfully performed byDr. Jameson, of Baltimore ; and it is one which commends itself to the profession,after all other remedies have failed.* The danger which may be apprehended of aloss of function in the testicle, is not sustained by the

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