" To all questions from his relatives he asked pardon and
exemption from blame, but gave no reason for his act. This
patient made a good recovery at the hospital. Alexeef, another
Russian, speaks of a similar injury occurring during an attack of
delirium tremens.
Black details the history of a young man of nineteen who went to
his bath-room and deliberately placing his scrotum on the edge of
the tub he cut it crossways down to the wood. He besought Black
to remove his testicle, and as the spermatic cord was cut and
much injured, and hemorrhage could only be arrested by ligature,
the testicle was removed. The reason assigned for this act of
mutilation was that he had so frequent nocturnal emissions that
he became greatly disgusted and depressed in spirit thereby. He
had practiced self-abuse for two years and ascribed his emissions
to this cause. Although his act was that of a maniac, the man was
perfectly rational. Since the injury he had had normal and
frequent emissions and erections.
Orwin mentions the case of a laborer of forty who, in a fit of
remorse after being several days with a prostitute, atoned for
his unfaithfulness to his wife by opening his scrotum and cutting
away his left testicle with a pocket knife.
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