Cases of malposition of the testicle, and of malformation of the male and female urino-genital organs / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
[1868]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of malposition of the testicle, and of malformation of the male and female urino-genital organs / by Thomas Bryant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    4/16 (page 4)
    The right testicle was not to be felt, having, evidently, not descended from the abdomen. The left had put in its first appearance at the external ring three days before his application to me, the boy having experienced pain in the groin, extending upwards towards the loin, for two weeks previously. On his walking into the room I at once observed that his body was bent unusually forwards, and that his movements were much restrained. On examination the testicle was readily felt in the left groin, having passed down the canal, and partially through the external ring. The gland was of a large size, remarkably tender, and was about the size of an egg. The horizontal posture was ordered to be maintained, with the thigh flexed, and cold lotion was applied. In three days the symptoms had somewhat abated, and at the end of the week the swelling was less. On July 11, the twenty-first day after his coming under observation, the testicle had passed the external ring, although resting close to it in the scrotum. In another week all pain had subsided, the testis was free, and the patient disappeared from observation, being quite well. Hypospadias. It is not worth while to record all the numerous eases of hypospadias which have passed under my notice, for they are very similar in their nature, and have few special points of interest. It may, however, be interesting to observe that the urethral orifice in the majority of cases is placed below the glans at a spot corresponding to the preputial frsenum; that in a certain number there is a depression on the glans penis corre- sponding to the natural outlet; and that several small depressions often exist between the urethral orifice and the cup-like de- pression at the extremity of the glans. One or more foramina through which urine escapes also sometimes present themselves below the true opening of the urethra; but under these circum- stances the urethral orifice is generally small, too small for its office. Under such conditions it often requires to be laid open. It would seem also that this deformity is one which is frequently inherited, but whether more frequently than others I have no means of proving.