,
but it had no urinary opening until after operation.
Among the older writers speaking of deficient or absent penis are
Bartholinus, Bauhinus, Cattierus, the Ephemerides, Frank, Panaroli, van
der Wiel, and others. Renauldin describes a man with a small penis and
enormous mammae. Goschler, quoted by Jacobson, speaks of a
well-developed man of twenty-two, with abundant hair on his chin and
suprapubic region and the scrotum apparently perfect, with median
rapine; a careful search failed to show any trace of a penis; on the
anterior wall of the rectum four lines above the anus was an orifice
which gave vent to urine; the right testicle and cord were normal, but
there was an acute orchitis in the left. Starting from just in front of
the anal orifice was a fold of skin 1 1/2 inches long and 3/4 inch high
continuous with the rapine, which seemed to be formed of erectile
tissue and which swelled under excitement, the enlargement lasting
several minutes with usually an emission from the rectum. It was
possible to pass a sound through the opening in the rectum to the
bladder through a urethra 1 1/2 inches wide; the patient had control of
the bladder and urinated from every three to five hours.
Many instances of rudimentary development of the penis have been
recorded, most of them complicated with cryptorchism or other
abnormality of the sexual organs. In other instances the organ is
present, but the infantile type is present all through life; sometimes
the subjects are weak in intellect and in a condition similar to
cretinism. Kaufmann quotes a case in a weakly boy of twelve whose penis
was but 3/4 inch long, about as thick as a goose-quill, and feeling as
limp as a mere tube of skin; the corpora cavernosa were not entirely
absent, but ran only from the ischium to the junction of the fixed
portion of the penis, suddenly terminating at this point. Nothing
indicative of a prostate could be found. The testicles were at the
entrance of the inguinal canal and the glans was only slightly
developed.
Binet speaks of a man of fifty-three whose external genitalia were of
the size of those of a boy of nine. The penis was of about the size of
the little finger, and contained on each side testicles not larger than
a pea. There was no hair on the pubes or the face, giving the man the
aspect of an old woman. The prostate was almost exterminated and the
seminal vesicles were very primitive in conformation. Wilson was
consulted by a gentl
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