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A CASE OF PRIAPISM.

By

A. H.

Boys,

L.R.C.P.

W. S., set.

65, gardener, came to see me on the 12th May, 1883, complaining of an erection of the penis which had already lasted a week. The history was that while riding a horse it ran away with him, and the unusual exertion had rubbed the skin off the nates, there was also considerable bruising of the gluteal region generally. The next morning he had an erection (a rarity with him) which had lasted ever since. He had had sexual intercourse in the hopes it would disappear, but that seemed to make it worse; he also suffered a good deal of pain. On examination I found the whole penis swollen, red and (edematous, and it looked at first sight as if he had a paraphimosis; this was in consequence of the foreskin (which was naturally retracted) at the base of the glans being so puffy and cedematous. I at first ordered a cold lead lotion to be constantly applied, and gave him a mixture containing ten grains of bromide of potassium every three hours. In five days there was no improvement. I then pricked the penis all over with a fine needle; serum flowed abundantly, so I ordered hot bathing, poultices, &c., hoping to encourage the flow of serum, and organ. There

so

reduce the tension

nothing to account parently beyond the slight injury was

mentioned.

aperients

His bowels

of calomel and

be felt per rectum,

or

were

on

the whole

for this erection apto the nates before

thoroughly

cleared out

by

jalap ; there was no swelling to by palpation anywhere in the pelvis.

HEMORRHAGES IN THE

The had

a

about

is temperate ; rather prematurely attack of bronchitis, also slight

man

slight six

paralysis

PIA MATER.

months

before,

now, and with the

erection of the

but there

are

exception

22

aged.

^

He

hemiplegia

no

of the

signs of persistent

in that organ, and consequent irritability of temper, he is quite well. The hot treatment failing to produce relief, I again

penis, together with

the

pain

applied cold, in the shape of ice, to the penis and scrotum, a mustard plaister to the spine, giving him internally ten minims of tincture of belladonna every three hours. the 22nd May, ten days after he came to me,

Shingleton

Smith

belladonna

suppositories,

him with each

me.

containing

He half

Dr.

suggested a grain of

ordered to be inserted every four drug. hours. I visited him on the 24th, when he assured me

that

he could not

One

saw

On

was

the

suppositories as they caused so much pain, but on more minute enquiry I discovered to my horror he had been vainly struggling to push a large suppository down his penis! From this date, however, they were used properly and persistently, in conjunction with a pill containing two grains of iodoform and a grain and a half of extract of In about three days there was a decided imconium. provement, the penis gradually recovered its normal condition, till at the end of three weeks there was no trace use

of its recent turbulence.

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A Case of Priapism.

A CASE OF PRIAPISM. By A. H. Boys, L.R.C.P. W. S., set. 65, gardener, came to see me on the 12th May, 1883, complaining of an erection of the pe...

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