Partial paralysis from reflex irritation, caused by congenital phimosis and adherent prepuce / by Lewis A. Sayre.

  • Sayre, Lewis A. (Lewis Albert), 1820-1900.
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: Partial paralysis from reflex irritation, caused by congenital phimosis and adherent prepuce / by Lewis A. Sayre. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    He had a very redundant prepuce, which could be pulled at least an inch from the extremity of the glans penis, was not adhe- rent to it, and terminated in a rigid, inelastic ring like orifice, scarcely large enough to admit an ordinary knitting needle. The slightest irritation of the extremity of his penis produced the most painful erections, and this he stated was his condition most of the time. Assisted by Dr. Henry, and in the presence of several students, I circumcised him and dressed the wound in a very similar manner to the cases above described. The effect of the operation in this case was equally as remark- able as in the other two. It is now six weeks since the operation, and he has not had a single fit in that time, although he used to have one or two almost every day. He sleeps quietly all night, has had only two nocturnal emissions, has increased in flesh and strength, has become buoyant in spirits, and in fact is, as his fatljer says, a perfectly changed boy. On the 7th of April, 1870, three cases of hip-disease came to my ofi&ce within a few minutes of each other, one from Dover, N. J,, one was sent by Dr. Walser, of Staten Island, and one by Dr. W. McSweeny, of Grand Street, IST. Y. The two latter were little boys about 7 and 9 years of age, rather delicate in appearance, and each of them in the second stage of hip-disease. After questioning in the most careful manner, I could find no local cause for the com- plaint. They had received no injury, fall, blow, or wrench of the joint that I could get any information about, and I was somewhat annoyed, as in the immense majority of these cases I have always been able to trace the disease to some local origin, rather than to a constitutional dyscrasia. While my assistant Dr. Yale was making drawings of them, and taking notes of their cases, I examined the third case, the little boy from Dover, who was 13 years old, and to my surprise I found, like the other two cases, that I could not trace his disease to any distinctly recognized' injury that he had ever received. He never had any severe fall, wrench, blow, bruise, or other injury of the joint which the father could call to mind. When examining his hip rfiy thumb came in contact with his penis, which became erect almost immediately, and presented an ex- ceedingly curious appearance. The penis was quite large, but very