escaping
inviolate. Thebaud mentions a tumor of the scrotum, the result of
elephantiasis, which weighed 63 1/2 pounds. The weight was ascertained
by placing the tumor on the scales, and directing the patient to squat
over them without resting any weight of the body on the scales. This
man could readily feel his penis, although his surgeons could not do
so. The bladder was under perfect control, the urine flowing over a
channel on the exterior of the scrotum, extending 18 inches from the
meatus. Despite his infirmity this patient had perfect sexual desire,
and occasional erections and emissions. A very interesting operation
was performed with a good recovery.

Partridge reports an enormous scrotal tumor which was removed from a
Hindoo of fifty-five, with subsequent recovery of the subject. The
tumor weighed 111 1/2 pounds. The ingenious technic of this operation
is well worth perusal by those interested. Goodman successfully
removed an elephantiasis of the scrotum from a native Fiji of
forty-five. The tumor weighed 42 pounds, without taking into
consideration the weight of the fluid which escaped in abundance during
the operation and also after the operation, but before it was weighed.
Van Buren and Keyes mention a tumor of the scrotum of this nature
weighing 165 pounds. Quoted by Russell, Hendy describes the case of a
negro who had successive attacks of glandular swelling of the scrotum,
until finally the scrotum was two feet long and six feet in
circumference. It is mentioned that mortification of the part caused
this patient's ultimate death.

Figure 281 is taken from a photograph loaned to the authors by Dr.
James Thorington. The patient was a native of Fiji, and was
successfully operated on, with preservation of the testes. The tumor,
on removal, weighed 120 pounds.

W. R. Browne, Surgeon-General, reports from the Madras General Hospital
an operation on a patient of thirty-five with elephantoid scrotum of
six years' duration. The proportions of the scrotum were as follows:
Horizontally the circumference was six feet 6 1/2 inches, and
vertically the circumference was six feet ten inches. The penis was
wholly hidden, and the urine passed from an opening two feet 5 1/2
inches from the pubis. The man had complete control of his bladder, but
was unable to walk. The operation for removal occupied one hour and
twenty minutes, and the tumor removed weighed 124 3/4 pounds. Little
blood was lost on account of an elasti