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Very often there are unsuspected hydroceles, forming cysts in the testicular mass, which must be cut out, or there may be varicocele requiring attention. The patient suffers very slight inconvenience; the local anesthetic is enough to dull the pain even of the breaking down of the adhesions, so that it is at its worst no more than the pain of a toothache, and lasts a very brief while.
If these veins, however, dilate until they form a considerable mass, known as VARICOCELE, they may affect the sexual apparatus deleteriously in two ways: The increased weight in the scrotal sac may cause the sac to become elongated and to annoy the subject by its traction on the spermatic cord.
But he persisted, and was attacked by pneumonia three days later which brought him to the verge of the grave, although he ultimately recovered. In another instance a young man of ruddy complexion and apparent good health, after an operation for varicocele, had a very clear impression that he would die. Careful examination showed no reason for apprehension.
A number of applicants who were confident that they would be allowed to enlist were rejected by the physicians on account of varicose veins. Varicose veins are enlarged veins which are apt to burst under the stress of long continued exertion. Closely allied to this is varicocele, which threw out a surprisingly large proportion of the National Guard and the recruits.
Riolan in the early part of the seventeenth century reported a case of defective nymphae; Neubauer in 1774 offers a contrast to this case in an instance of triple nymphae. The nymphae are sometimes enormously enlarged by hypertrophy, by varicocele, or by elephantiasis, of which latter type Rigal de Gaillac has observed a most curious case.
This lengthened scrotum with its contents may also be exposed to mechanical pressure or even to injury from the clothing, etc., which would not occur if the scrotal sac were short, holding the testes close to the body. Of far more importance is the danger of the varicocele gradually encroaching by pressure upon the testis, perhaps to cause a partial atrophy of that gland.
Such a bandage may be obtained at any drug store or surgical instrument house, and if properly fitted, will usually relieve any such discomfort as described above. If the varicocele is quite large, the subject will do well to consult a competent surgeon and to take his advice. Is the emptying of the seminal vesicles thru nocturnal emission a universal phenomenon among continent men?
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