Cases of varicocele trated by pressure, with observations / [Thomas Blizard Curling].

  • Thomas Blizard Curling
Date:
1846]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of varicocele trated by pressure, with observations / [Thomas Blizard Curling]. Source: Wellcome Collection.

    6/10 (page 6)
    of Billlter-sqiiare^ a gentleman aged 25, who was affected with a distressing varicocele on the left side. He was single, and of delicate appearance, but his general health was repre¬ sented to be pretty good. He had been troubled with the complaint for about four years; but notwithstanding the use of a suspender, the uneasiness had continued to increase, and at length had become so severe, that he was unable to attend to business, or even to walk a short distance without lying down afterwards. On his entering my room, he begged to be allowed to place himself on the sofa, in order to procure relief, and he afterwards remained in the recumbent position for half an hour before leaving the house. On examination, I found the dilatation of the spermatic veins on the left side by no means considerable. The testis was of proper size, but the seat of a good deal of morbid sensibility. On making tolerably firm pressure on the spermatic veins at the external abdominal ring with the fingers, and continuing it whilst the patient walked backwards and forwards in the room, no uneasiness whatever was experienced, whereas the pain returned in a few minutes after the pressure was remitted. The application of the lever truss was conse¬ quently recommended. This patient called on me again at the end of two months, and stated that he had derived great relief from constantly wearing the truss, and was able to take exercise and to attend to business, though he still suffered from the complaint at tirnes, especially after fatigue. Case 5.— Varicocele relieved by pressure,—Charles Bye, a short, thick-set man, aged 24, applied to me in January 1846, for my advice respecting a varicocele on the left side. There was a good-sized plexus of dilated veins, which caused a sort of dull aching pain, that rendered him low- spirited, and prevented him from continuing in his business as a messenger and weigher in the Custom House, his suffer¬ ings being increased by the least exertion. He had been troubled with this complaint for nearlj'^ five months. He had been a jockey in the service of Lord G. Bentinck since he was a boy, but had recently given up this occupation in con-