from infancy had as a constant
companion a long, miserable, smegmanous, and annoying prepuce.
The young man has an oedema which first affected his feet, but
one day, owing to the irritation of a slight balanitis, the
prepuce swelled at once; it proceeded through the penis
integument to the scrotum; the penis itself retracted, leaving
the integument and scrotum to assume a translucent, puffy,
cork-screw appearance and attitude; from its labyrinthic
passage the urine slowly dribbles during urination in a
scalding stream. In addition to the physical sufferings, he is
tormented by the knowledge that his friends attribute all his
disease and troubles--since the occurence of the penile
oedema--to the fact that his earlier manhood must have been
indiscreet, as well as sinful. The laity cannot connect any
penile, scrotal, or testicular disease with anything except
venereal disease; and if the physician attempts to explain
matters, they simply look upon it as the good-natured and
well-intentioned efforts of the doctor to deceive them and to
cover up the shortcomings of some frail mortal. Many a poor
fellow has to leave this world under a cloud of mistrust and a
bad odor of past deviltry to which he is not entitled, and
suffer all this in addition to all his physical ills, owing to
his having been ornamented through life with an annoying
prepuce,--the luckless heritage of having been born a
Christian. Columbus in chains moralizing on the ingratitude of
this world is nothing to the poor invalid with a swollen
prepuce, innocently acquired, silently "cussing" the ignorance
of his relatives and friends.

[102] This patient, on convalescing, suffered considerable from the
action of numerous small carbuncles, resulting from the
toxaemic condition induced by the partial suppression of urine
that he at times suffered from, and, when nearly well, brought
on a serious relapse by the mail-bag appendage at the penis
working up the organ into a state of erection. While so
situated he had intercourse, and from 99 deg. his temperature
immediately rose to 1041/2 deg., where it remained for several days,