e nervi
erigentes, brought about either by anatomic change in the nerves
themselves, or by pressure upon them by enlarged lumbar glands, an
associate condition of leukemia.

Burchard reports a most interesting case of prolonged priapism in an
English gentleman of fifty-three. When he was called to see the man on
July 15th he found him suffering with intense pain in the penis, and in
a state of extreme exhaustion after an erection which had lasted five
hours uninterruptedly, during the whole of which time the organ was in
a state of violent and continuous spasm. The paroxysm was controlled by
3/4 grain morphin and 1/50 grain atropin. Five hours later, after a
troubled sleep, there was another erection, which was again relieved by
hypodermic medication. During the day he had two other paroxysms, one
lasting forty-five minutes; and another, three hours later, lasting
eighteen minutes. Both these were controlled by morphin. There was no
loss of semen, but after the paroxysms a small quantity of glairy mucus
escaped from the meatus. The rigidity was remarkable, simulating the
spasms of tetanus. No language could adequately describe the suffering
of the patient. Burchard elicited the history that the man had suffered
from nocturnal emissions and erotic dreams of the most lascivious
nature, sometimes having three in one night. During the day he would
have eight or ten erections, unaccompanied by any voluptuous emotions.
In these there would rarely be any emission, but occasionally a small
mucous discharge. This state of affairs had continued three years up to
the time Burchard saw him, and, chagrined by pain and his malady, the
patient had become despondent. After a course of careful treatment, in
which diet, sponging, application of ice-bags, and ergot were features,
this unfortunate man recovered.

Bruce mentions the case of an Irishman of fifty-five who, without
apparent cause, was affected with a painful priapism which lasted six
weeks, and did not subside even under chloroform. Booth mentions a case
of priapism in a married seaman of fifty-five, due to local
inflammation about the muscles, constricting the bulb of the penis. The
affection lasted five weeks, and was extremely painful. There was a
similar case of priapism which lasted for three weeks, and was
associated with hydrocele in a man of forty-eight.

Injuries of the testicle and scrotum may be productive of most serious
issue. It is a well-known surgical fact