An American text-book of genito-urinary diseases, syphilis and diseases of the skin . rom true elephantiasis. There has beenmuch discussion regarding the etiology of elephantiasis. Numerous author-ities hold that no distinction should be made between the two conditions; inother words, that all cases of elephantiasis, just as is the case with lymph-scrotum, are due to parasites which block the efferent lymph-channels. The medical treatment of these hypertrophies has hitherto been unsatisfac-tory and negative. Very recently Flint of New York has published somecases of filiaria sanguinis hominis
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . rom true elephantiasis. There has beenmuch discussion regarding the etiology of elephantiasis. Numerous author-ities hold that no distinction should be made between the two conditions; inother words, that all cases of elephantiasis, just as is the case with lymph-scrotum, are due to parasites which block the efferent lymph-channels. The medical treatment of these hypertrophies has hitherto been unsatisfac-tory and negative. Very recently Flint of New York has published somecases of filiaria sanguinis hominis which have apparently been cured by theinternal administration of methylene-blue for a considerable period. If theseresults aie substantiated by further investigations, it may be that we shallhave a cure for elephantiasis or such forms of it as may be dependent onfilaria. Generally quite satisfactory results can be obtained by surgery inthese cases. The pedicle is clamped and the scrotal tissue removed, carebeing taken to leave the testicles and penis. The exposed testicles become. Elephantiasis of the scrotum in a nativeof Fiji (Thorington). 216 DISEASES OF THE TESTICLE, ETC. covered by granulations and cicatrization. The chief danger with referenceto the operation lies in septic absorption from the stump, but with carefulattention to antisepsis death from this source should not be frequent. For-merly, before it was customary to apply a clamp to the pedicle, the dangerdue to hemorrhage was considerable, since the blood-vessels which have tobe secured are numerous and large. Tumors.—Dermoid cysts of the scrotum occur occasionally. Mermethas recently reported 2 instances of such tumors occupying the median scrotal
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
