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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    only one. I saw this man again early in January, 1877, on account of a chancre, when he informed me thai he had experienced no trouble whatever in sexual congress. Cask VII.—A mechanic, twenty-six years of age, state-> that he ha-> had intercourse with one woman three or four times every night for the past eighteen months, and that he occasionally fulfilled engagements of a similar nature with other females. He had never masturbated much, nor had he ever contracted gonorrhoea. Lately he has observed that his powers were growing feeble; and at present the erections are flabby. and the ejaculations, when ] enetration is possible, are precipitate. He looks pale, is easily fatigued, and suffers from pain in the back, and from frequent and painful micturition. A No. 25 explorer detects a very sensitive urethra, and a stricture seated at six inches from the meatus. The neck of the bladder is so sensitive that it contracts when the instrument comes in contact with it, so that its onward progres momentarily arrested. Case VIII.—A weaver, thirty-seven years of age, has had gonorrlvea three times, the last attack having occurred fourteen years ago. For the past three years he has noticed that the erections were becoming more and more feeble, until they frequently passed off before intromission, and coition was always attended with hasty emission. In addition to his sexual troubles, he complains of numbness along the outer side of the left thigh, almost constant dorsal pain, and a dull, heavy pain in the back of the head, the left side of the neck, and the left shoulder, all of which localities now and then suddenly become red and hot. The suffering is aggravated by exercise and continuous work : his sleep is unrefreshing, and he has dyspeptic symptoms. He has two strictures, the first of which, calibre 17, is located at three inches and a half, and the second, calibre 15, is six inches from the meatus ; and the prostatic urethra is morbidly sensitive. In the preceding illustrations of the first variety of atonic impotence, the exciting causes were chronic hyperesthesia and inflammation of the prostatic urethra, which were pro- duced, respectively, by masturbation, by sexual excesses, and by gonorrhoea, and were maintained by one or more strictures. One case was complicated by nocturnal emis- sions, and another by inflammation of the neck of the bladder ; and in all there were symptoms of neurasthenia.