A practical treatise on impotence, sterility and allied disorders of the male sexual organs / by Samuel W. Gross.

  • Gross, Samuel W. (Samuel Weissell), 1837-1889.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on impotence, sterility and allied disorders of the male sexual organs / by Samuel W. Gross. 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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    many cases, more especially of the two former diseases, in which there was little doubt that the loss of sexual power was directly due to these causes, and more particularly if the diseases have been of long- duration. As the disease progresses the varicocele causes softening- and ultimate disappearance of the testicle, producing not only impotence, but also azoospermism. Upon this point I shall speak again further on.] Classification.—Atonic impotence varies in degree, and may be divided into the following classes: First. The erection is, as a rule, imperfect and of short duration, and, in two-thirds of the cases, ejaculation is too precipitate, but sexual desire remains, and intercourse is possible, although incomplete. Second. The erection is either so feeble that intromission is impossible, or it is entirely absent. As in the preceding form, desire is present. Third. In the last phase of the affection, not only is there loss of power of erection, but desire is completely abolished. Of the relative frequency of these three varieties of im- potence, an examination of the two hundred and forty-eight cases previously alluded to shows that two hundred and ten were examples of feeble erection and premature ejacula- tion ; thirty-one were instances of loss of powrer of erection, with retention of desire ; and seven were examples of failure of both erection and desire ; so that I have no hesitation in declaring that the first form is more common than impotence from all other causes combined. Clinical History.—As my readers will gain a better insight into the peculiarities of the three varieties b\ a narration of cases than by a general and abstract descrip-