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Every case of elephantiasis of the scrotum can not be operated upon in the same way, as the disease involves the tissues of the scrotum and integument of the penis in a variety of ways, and each case must be dealt with accordingly. It is our purpose to discuss in this paper but a single class of these cases. This class has those cases in which the penis is intrascrotal. That is, the dangling tumor has so dragged down and overgrown the penis that it has finally receded into the growth from two to five inches; and the urine is passed through a canal which is lined by the integument that was the former covering of the penis. The true condition of the penis can not be better described than by skinning a cat or rabbit, beginning at the hind quarters and pulling the skin forward over the body until
BRAUCHT FE. ELEPHANTIASIS SCROTI. MODUS OPERANDI OF OPERATING FOR ITS REMOVAL. JAMA. 1899;XXXII(8):408–409. doi:10.1001/jama.1899.92450350012002c
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