The penis was wholly hidden, and the urine
passed from an opening two feet 5 1/2 inches from the pubis. The
man had complete control of his bladder, but was unable to walk.
The operation for removal occupied one hour and twenty minutes,
and the tumor removed weighed 124 3/4 pounds. Little blood was
lost on account of an elastic cord tied about the neck of the
tumor. and secured by successful removal of a scrotal tumor
weighing 56 pounds.
Fenger describes a case of the foregoing nature in a German of
twenty-three, a resident of Chicago. The growth had commenced
eight years previously, and had progressively increased. There
was no pain or active inflammation, and although the patient had
to have especially constructed trousers he never ceased his
occupation as a driver. The scrotum was represented by a hairless
tumor weighing 22 pounds, and hanging one inch below the knees.
No testicles or penis could be made out. Fenger removed the
tumor, and the man was greatly improved in health. There was
still swelling of the inguinal glands on both sides, but
otherwise the operation was very successful. The man's mental
condition also greatly improved. Fenger also calls especial
attention to the importance of preserving the penis and testes in
the operation, as although these parts may apparently be
obliterated their functions are undisturbed.
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