Knoll described a case in 1781, occurring in a
peasant of thirty-six who fell from a horse under the wheels of a
carriage. He was first caught in the revolving wheels by his
apron, which drew him up until his breeches were entangled, and
finally his genitals were torn off. Not feeling much pain at the
time, he mounted his horse and went to his house. On examination
it was found that the injury was accompanied with considerable
hemorrhage. The wound extended from the superior part of the
pubes almost to the anus; the canal of the urethra was torn away,
and the penis up to the neck of the bladder. There was no vestige
of either the right scrotum or testicle. The left testicle was
hanging by its cord, enveloped in its tunica vaginalis. The cord
was swollen and resembled a penis stripped of its integument. The
prostate was considerably contused. After two months of suffering
the patient recovered, being able to evacuate his urine through a
fistulous opening that had formed. In ten weeks cicatrization was
perfect. In his "Memoirs of the Campaign of 1811," Larrey
describes a soldier who, while standing with his legs apart, was
struck from behind by a bullet. The margin of the sphincter and,
the skin of the perineum, the bulbous portion of the urethra,
some of the skin of the scrotum, and the right testicle were
destroyed.
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