that a major degree of shock
accompanies a contusion of this portion of the body. In fact, Chevers
states that the sensitiveness of the testicles is so well known in
India, that there are cases on record in which premeditated murder has
been effected by Cossiah women, by violently squeezing the testicles of
their husbands. He also mentions another case in which, in frustrating
an attempt at rape, death was caused in a similar manner. Stalkartt
describes the case of a young man who, after drinking to excess with
his paramour, was either unable, or indifferent in gratifying her
sexual desire. The woman became so enraged that she seized the scrotum
and wrenched it from its attachments, exposing the testicles. The left
testicle was completely denuded, and was hanging by the vas deferens
and the spermatic vessels. There was little hemorrhage, and the wound
was healed by granulation.

Avulsion of the male external genitalia is not always accompanied by
serious consequences, and even in some cases the sexual power is
preserved. Knoll described a case in 1781, occurring in a peasant of
thirty-six who fell from a horse under the wheels of a carriage. He was
first caught in the revolving wheels by his apron, which drew him up
until his breeches were entangled, and finally his genitals were torn
off. Not feeling much pain at the time, he mounted his horse and went
to his house. On examination it was found that the injury was
accompanied with considerable hemorrhage. The wound extended from the
superior part of the pubes almost to the anus; the canal of the urethra
was torn away, and the penis up to the neck of the bladder. There was
no vestige of either the right scrotum or testicle. The left testicle
was hanging by its cord, enveloped in its tunica vaginalis. The cord
was swollen and resembled a penis stripped of its integument. The
prostate was considerably contused. After two months of suffering the
patient recovered, being able to evacuate his urine through a fistulous
opening that had formed. In ten weeks cicatrization was perfect. In his
"Memoirs of the Campaign of 1811," Larrey describes a soldier who,
while standing with his legs apart, was struck from behind by a bullet.
The margin of the sphincter and, the skin of the perineum, the bulbous
portion of the urethra, some of the skin of the scrotum, and the right
testicle were destroyed. The spermatic cord was divided close to the
skin, and the skin of the penis and prepuce