:--
The patient, a man of unusual physical development, was suffering from
nocturnal emissions and diminished sexual power, the result of early
indiscretions and marital excesses. One of his most unpleasant symptoms
was severe pain in the portion of the urethra near the openings of the
ejaculatory ducts. After he had been suffering more than usual for a
few days, we applied the faradaic electric current in the manner
indicated above, for about fifteen minutes. At the end of that time
the pain was entirely removed, though considerable suffering had been
caused by the passage of the instrument, so sensitive was the congested
membrane. The pain did not return again for two or three weeks, though
treatment was necessarily suspended on account of absence.
In another case, that of a young man, a student, at the beginning of
treatment emissions occurred nightly, and sometimes as many as four
in a single night, according to his statement, which we had no reason
to doubt. Under the influence of these local applications, combined
with other measures of treatment and a measurably correct regimen, the
number of emissions was in a few weeks reduced to one in two or three
weeks.
Numerous other cases nearly as remarkable might be detailed if it were
necessary to do so. In quite a considerable number of cases in which
we have employed this plan of treatment, the results have been uniformly
excellent. A very slight increase of irritation sometimes occurs at
first, but this quickly subsides.
The galvanic as well as the faradaic current is to be used under proper
circumstances. The application of electricity to the nerve centers by
means of central galvanization, and also general and local external
faradization, are necessary methods to be employed in electrical
treatment.
_Circumcision_.--In cases of phimosis, in which irritation is produced
by retained secretions, division of the prepuce, or circumcision, is
the proper remedy. These cases are not infrequent, but the exciting
cause of much of the difficulty is often overlooked. The same remedy
is often useful in cases of long prepuce.
When the glans penis is unusually tender and sensitive, this condition
will usually be removed by the daily washing with soap and water
necessary for cleanliness. If this does not suffice, or if there are
slight excoriations caused by acrid secretions, apply, in addition,
a weak solution of tannin in glycerine once a day.
_Impotence_.--Loss
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