The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; tr. by Gardner W. Allen.
- Robert Ultzmann
- Date:
- 1890
Licence: Public Domain Mark
Credit: The neuroses of the genito-urinary system in the male : with sterility and impotence / by R. Ultzmann ; tr. by Gardner W. Allen. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![The cutaneous hyperesthesia is ordinarily confined to the skin of the penis itself and that of the mons veneris. Yet sometimes patients complain of the most varied sensations in the whole abdominal region, in the nates and the thighs; now a burning, stinging, or great ten- derness of the skin, again a feeling of numb- ness and weakness. In some patients there is at the same time an increased general reflex irritability, and these cases often present symp- toms which would only be looked for, in such a degree, in hysterical women. As to aetiology, the patients generally ascribe their trouble to a gonorrhoea which, indeed, has commonly been one of long standing, and accompanied by swelled testicle or inflamma- tion of the bladder. On examination of the prostate 'per rectum nothing abnormal is felt. The urine shows either no abnormal condi- tion, or it contains one of those constituents which have just been described. Thus not in- frequently the earthy phosphates are precip- itated by heating. At the same time, also, it is common to find in the urine, in greater or less amount, shreds [Tripperfäden], and especially those thick and short ones, sometimes resem- bling large-headed nails, which usually come from the prostatic urethra. It is also well known that in the various diseases of the pros- tate, hypersesthesia or neuralgia of the urethra](https://iiif.wellcomecollection.org/image/b21081943_0034.jp2/full/800%2C/0/default.jpg)