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August 13, 1892

THE CREMASTERIC REFLEX IN VARICOCELE.Read before the Section of Surgery and Anatomy, at the Forty-third Annual Meeting of the American Medical Association, at Detroit, Mich., June, 1892.

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JAMA. 1892;XIX(7):193-197. doi:10.1001/jama.1892.02420070017001d

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I wish in this paper to make a short mention of certain observations and theories which I am not yet prepared to publish in full.

The accepted theory in regard to the causation and pathology of varicocele had never been entirely satisfactory to the profession. While it may be admitted that certain anatomical relations more especially of veins on the left side of the body may predispose to the disease, and while there can be no doubt of the occasional agency of injuries and venereal excesses in producing it, we must nevertheless acknowledge our ignorance of the exact pathological processes which lead to its development. We cannot explain why of two men of apparently similar constitution and habits of life one should suffer from the disease and the other escape. We may accept as the truth, the statement that the size, winding course and numerous anastomoses of the veins near

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