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left pubic bone, groin, and flank on to the left side of his thorax when it glanced off. After the accident he tried to get canadian viagra buy up but found that be could not support himself on his left leg, which seemed to be limp canadian viagra buy and powerless. In addition to this he felt a severe pain in the region of his left hip and loin where viagra buy price the wheel had passed over him. He accordingly lay by the roadside for a while until an ambulance could be summoned, which conveyed him to the nearest hospital. On arriving there he was examined by the house surgeon who found that his sixth and seventh ribs had been fractured in the axillary line, that the region of the left hip was very much contused, and that the wheel had cut through the soft tissues in the left pubic region, lacerating the superficial external pudic, the superficial epigastric, >or some other of the small branches of the femoral in that region, from canadian viagra buy which a profuse hemorrhage had taken place. The patient was placed upon a water bed and his fractured ribs were duly attended to. Later in the day viagra buy price his scrotum, penis, and the ad- joining region of his left thigh and hip were seen to 1 Elmer vs. Fessenden, 151 Mass., 359. - Tarlton i . I agarde, 4'' La. Ann., 1 ;< -. m , i 1 penis, which was especially marked when moving about. On questioning him in regard to the condition of the functions of his genito-urinary organs he replied that he had had no difficulty in urinating since his injury, but that he had had no erections since that time, although he had considered himself well pre- served and vigorous before the accident. Examination locally revealed a scrotum which 12 MEDICAL RECORD. [January 4, 1896 looked flat and empty in its lower portion, while in the upper parr of the sac a nodular mass was present. Over the uppe/ and anterior surface of the scrotum a small wound was noticed which had not as yet entirely healed. This was the one caused by the passage of the wheel over this region, from which the hemorrhage already alluded to had taken place. The penis looked flattened and abnormally wide at its base, where it measured five and a half inches viagra buy price in circumference and two inches canadian viagra buy in width. The left side of the organ appeared to be especially bulging from behind the glans to the pubes and on palpation had the peculiar elastic feci resembling that known as testicular. On more careful manipulation it was observed to be oval in shape and directly connected with the nodular mass at the peno-scrotal junction on the left side (see Fig. 1). On elevating the penis to obtain a view of its under surface the deformity was much more marked and the relation canadian viagra buy I he mass in the left side of the penis and that in the scrotum was more clearly discernible (sec viagra buy price Fig. 2). Palpation of the scrotum below the nodular mass revealed an elongated body extending from it down to nearly the bottom of the scrotal pouch where it was felt to be again slightly expanded. The case was evidently one of dislocation of the testicle into the penis and the points of interest were, first, how it had been ai 1 ami [j shed and, second, how to reduce canadian viagra buy it. In order to decide upon the first point, namely, how it had been accomplished, it might well to consider briefly tin' anatomy of the pans in question and their relations. The b \\e know is 3 . upon the onto - the postei ioi 1 d which is a : flattened body, the epididymis. Tins consists ol upper expanded extremity, the globus major, whi< intimately connected with the upper part of canadian viagra buy the testi- cle by its efferent ducts; a central portion or body: and a lower extremity also slightly expanded, the globus minor, which extends into and is continuous with the cord. The tunica vaginalis is the serous membrane covering the testicle and epididymis and