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—A soldier, aged 25, stationed at Fort Porter, N. Y., previous history unimportant, had gonorrhea with swelling of left testicle six months previously. The swelling subsided and at time seen, the patient had only a slight mucoid discharge, noticeable in the morning, but complained of painful left testicle.
—Urine had shreds in the third glass. No stricture. Prostate on palpation was normal; right testicle normal; left testicle not swollen, but very painful and tender on palpation. Any effort to determine outlines of epididymis and first portion of vas caused so much pain that it could not be done.
Treatment and Course of Disease.
—It was thought that the lumen of the globus minor was constricted, and the testicle was explored with the idea of excising this portion, and anastomosing the vas with the globus major. But when exposed the epididymis and vas were found normal. Attention was then
TYLER GT. EXCISION OF PARIETAL PORTION OF TUNICA VAGINALIS FOR RELIEF OF PAINFUL TESTICLE FOLLOWING GONORRHEAL INFLAMMATION. JAMA. 1911;LVII(11):888–889. doi:10.1001/jama.1911.04260090110014
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