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Orchiectomy was in vogue for many years prior to 1895, and is still advocated by many able men, as Koenig, Kocher, Terrilon, Richet and Senn, though most of them are opposed to double castration except in very exceptional instances. It would be the operation of election, because of its ease of performance and the rapid healing of the parts which usually follows, were it not for the unnecessary mutilation, the influence on general metabolism, the mental effect, and for the fact that patients will not consent to it until the disease is very far advanced. As the glandular portion of the testis is practically never primarily involved, and very rarely seriously secondarily affected, there is no good surgical basis for its removal. The claim, which has always been made by the advocates of castration, that the operation is more radical than epididymectomy, is not proved by the results of operations,
MURPHY JB. TUBERCULOSIS OF THE TESTICLE. WITH SPECIAL CONSIDERATION OF ITS CONSERVATIVE TREATMENT. JAMA. 1900;XXXV(22):1407–1411. doi:10.1001/jama.1900.24620480027001f
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