The skin of the penis was
stripped off to its root, the scrotum torn off from its base, and
the testicles were contused and lacerated, and yet good recovery
ensued. A peculiarity of this case was the persistent erection of
the penis when cold was not applied.
Gibbs mentions a case in which the entire scrotum and the
perineum, together with an entire testicle and its cord attached,
and nearly all the integument of the penis were torn off, yet the
patient recovered with preservation of sexual powers. The patient
was a negro of twenty-two who, while adjusting a belt, had his
coat (closely buttoned) caught in the shafting, and his clothes
and external genitals torn off. On examination it was found that
the whole scrotum was wrenched off, and also the skin and
cellular tissue, from 2 1/2 inches above the spine of the pubes
down to the edge of the sphincter ani, including all the breadth
of the perineum, together with the left testicle with five inches
of its cord attached, and all the integument and cellular
covering of the penis except a rim nearly half an inch wide at
the extremity and continuous with the mucous membrane of the
prepuce. The right testicle was hanging by its denuded cord, and
was apparently covered only by the tunica vaginalis as high up as
the abdominal ring, where the elastic feeling of the intestines
was distinctly perceptible.
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