patient subsequently attempted
coitus by contact with unsuccessful results, although both parties had
incomplete orgasms. Shortly afterward evidences of mental derangement
appeared and the man became the subject of exalted delusions. His wife,
at the time of report, had filed application for divorce. Haslam
reports a case in which loss of the penis was compensated for by the
use of an ivory succedaneum. Parallel instances of this kind have been
recorded by Ammann and Jonston.
Entire absence of the male sexual apparatus is extremely rare, but
Blondin and Velpeau have reported cases.
Complete absence of the testicles, or anorchism, is a comparatively
rare anomaly, and it is very difficult to distinguish between anorchism
and arrest of development, or simple atrophy, which is much more
common. Fisher of Boston describes the case of a man of forty-five, who
died of pneumonia. From the age of puberty to twenty-five, and even to
the day of death, his voice had never changed and his manners were
decidedly effeminate. He always sang soprano in concert with females.
After the age of twenty-five, however, his voice became more grave and
he could not accompany females with such ease. He had no beard, had
never shaved, and had never exhibited amorous propensities or desire
for female society. When about twenty-one he became associated with a
gay company of men and was addicted to the cup, but would never visit
houses of ill-fame. On dissection no trace of testicles could be found;
the scrotum was soft and flabby. The cerebellum was the exact size of
that of a female child.
Individuals with one testicle are called monorchids, and may be divided
into three varieties:--
(1) A solitary testicle divided in the middle by a deep fissure, the
two lobes being each provided with a spermatic cord on the same side as
the lobe.
(2) Testicles of the same origin, but with coalescence more general.
(3) A single testicle and two cords.
Gruber of St. Petersburg held a postmortem on a man in January, 1867,
in whom the right half of the scrotum, the right testicle, epididymis,
and the scrotal and inguinal parts of the right vas deferens were
absent. Gruber examined the literature for thirty years up to the time
of his report, and found 30 recorded postmortem examinations in which
there was absence of the testicle, and in eight of these both testicles
were missing. As a rule, natural eunuchs have feeble bodies, are
mentally dull, and
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