was torn. The soldier was
left as dead on the field, but after four months' treatment he
recovered.
Madden mentions a man of fifty who fell under the feet of a pair of
horses, and suffered avulsion of the testicles through the scrotum. The
organs were mangled, the spermatic cord was torn and hung over the
anus, and the penis was lacerated from the frenum down. The man lost
his testicles, but otherwise completely recovered. Brugh reports an
instance of injury to the genitalia in a boy of eighteen who was caught
in a threshing-machine. The skin of the penis and scrotum, and the
tissue from the pubes and inguinal region were torn from the body.
Cicatrization and recovery were complete. Brigham cites an analogous
case in a youth of seventeen who was similarly caught in threshing
machinery. The skin of the penis and the scrotum was entirely torn
away; both sphincters of the anus were lacerated, and the perineum was
divested of its skin for a space 2 1/2 inches wide. Recovery ensued,
leaving a penis which measured, when flaccid, three inches long and 1
1/2 inches in diameter.
There is a case reported of a man who had his testicles caught in
machinery while ginning cotton. The skin of the penis was stripped off
to its root, the scrotum torn off from its base, and the testicles were
contused and lacerated, and yet good recovery ensued. A peculiarity of
this case was the persistent erection of the penis when cold was not
applied.
Gibbs mentions a case in which the entire scrotum and the perineum,
together with an entire testicle and its cord attached, and nearly all
the integument of the penis were torn off, yet the patient recovered
with preservation of sexual powers. The patient was a negro of
twenty-two who, while adjusting a belt, had his coat (closely buttoned)
caught in the shafting, and his clothes and external genitals torn off.
On examination it was found that the whole scrotum was wrenched off,
and also the skin and cellular tissue, from 2 1/2 inches above the
spine of the pubes down to the edge of the sphincter ani, including all
the breadth of the perineum, together with the left testicle with five
inches of its cord attached, and all the integument and cellular
covering of the penis except a rim nearly half an inch wide at the
extremity and continuous with the mucous membrane of the prepuce. The
right testicle was hanging by its denuded cord, and was apparently
covered only by the tunica vaginalis as high up
|