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September 5, 1896

Unilateral Orchotomy.

JAMA. 1896;XXVII(10):552. doi:10.1001/jama.1896.02430880044009

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Navasota, Texas, Aug. 4, 1896.

To the Editor:  —I herewith give in brief the history and operation of two cases of castration: C. S., aged 15 years; contracted continued malarial fever, which continued with no peculiar history until the third week, when orchitis developed in both testes without any disease of the genito-urinary organs, either during this attack of fever or previously. Later, it became complicated and terminated in orchi-epididymitis, becoming exceedingly painful. During the fourth week I was called in consultation, finding the morning temperature ranging from 102½ to 103 degrees; evening from 103 to 104 degrees, with considerable tympanitis, great emaciation, prostration, intense suffering, a suppurating testicle of left side and the right one enlarged and painful. Castration being determined upon, antiseptic precautions were rigidly enforced. Patient being anesthetized I cut away the suppurating portion of the scrotum, turned out the testes and ligated the spermatic cord, nerve

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