Observations on the structure and diseases of the testis / by Sir Astley Cooper ; from the second London edition ; edited by Bransby B. Cooper.

  • Astley Cooper
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: Observations on the structure and diseases of the testis / by Sir Astley Cooper ; from the second London edition ; edited by Bransby B. Cooper. Source: Wellcome Collection.

Provider: This material has been provided by the Woodruff Health Sciences Center Library at Emory University, through the Medical Heritage Library. The original may be consulted at the Woodruff Health Sciences Center Library, Emory University.

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    persons also submit to the operation, rather than to the pro- tracted inconvenience, arising from the disease. DISSECTION OF THE CHRONIC DISEASE OF THE TESTIS, AND OF THE GRANULAR SWELLING. When a testicle is removed during the adhesive stage of the disease, the appearance of it, and of the epididymis is changed into a general yellowish white aspect, possessing considerable solidity. On making a section of a chronic enlargement of the testis, and throwing it into water, by agitation, a whitish yellow fluid proceeds from the seminiferous tubes, which are extremely di- lated, and which then appear emptied. But still the same bulk of testicle remains, owing to the cellular membrane of the part' being loaded with a yellow fibrine, or coagulable lymph; the rete is filled with the same secretion as the tubuli; the epididy- mis is similarly diseased, and sometimes the vesiculse seminales and vasa deferentia are distended with this morbid secretion. But the effusion, whether placed in the one situation or in the other, when it becomes absorbed by proper treatment, may, and apparently does, leave the testicle, still capable of performing its functions, and allowing therefore of its complete recovery. [See Plates XI and XIL] Sometimes in dissection, we meet with an abscess or abscesses in the testicle, and epididymis, connected with the adhesive, or fibrous effusion; and this combined with more or less of ulcer- ation, so that a part of the testicle is destroyed, and the complete recovery of its function is rendered impossible. Several ab- scesses are sometimes found in the same testicle. It is not very uncommon to find sinuses or fistulas leading from the cavities of these old abscesses, to the external surface of the scrotum, and as the testicle thus diseased, still secretes some semen, both the cavities and their outlets are prevented from closing, until the secreting surface be healed, or destroyed. When the Granular Swelling is produced, the Granulations