stone. Even in the more violent attacks the intense suffering
abates somewhat on the second or third day. If it lasts longer, it is
liable to give rise to the formation of matter (abscess). In exceptional
cases the testicle is struck with gangrene, or death. Improvement may go
on slowly to complete recovery, or the malady may subside into a
subacute and chronic form with induration. Matter (abscess) may be
recognized by the presence of a soft spot, where pressure with two
fingers will detect fluctuation from one to the other. When there is
liquid exudation into the scrotum, or sac, fluctuation may also be felt,
but the liquid can be made out to be around the testicle and can be
pressed up into the abdomen through the inguinal canal. When abscess
occurs in the cord the matter may escape into the scrotal sac and cavity
of the abdomen and pyemia may follow.

_Treatment_ consists in perfect rest and quietude, the administration of
a purgative (1 to 1-1/2 pounds Glauber's salt), and the local
application of an astringent lotion (acetate of lead 2 drams, extract of
belladonna 2 drams, and water 1 quart) upon soft rags or cotton wool,
kept in contact with the part by a suspensory bandage. This bandage, of
great value for support, may be made nearly triangular and tied to a
girth around the loins and to the upper part of the same surcingle by
two bands carried backward and upward between the thighs. In severe
cases scarifications one-fourth inch deep serve to relieve vascular
tension. When abscess is threatened its formation may be favored by warm
fomentations or poultices, and on the occurrence of fluctuation the
knife may be used to give free escape to the pus. The resulting cavity
may be injected daily with a weak carbolic-acid lotion, or salol may be
introduced. The same agents may be used on a gland threatened with
gangrene, but its prompt removal by castration is to be preferred,
antiseptics being applied freely to the resulting cavity.

SARCOCELE.

This is an enlarged and indurated condition of the gland, resulting from
chronic inflammation, though it is often associated with a specific
deposit, like glanders. In this condition the natural structure of the
gland has given place to embryonal tissue (small, round cells, with a
few fibrous bundles), and its restoration to health is very improbable.
Apart from active inflammation, it may increase very slowly. The
diseased testicle is enlarged, firm, nonelastic, and comp