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strength of current being ten milliamperes, the first viagra will generic application being made on November 6, 1892. The effect of the current was almost instantaneous. At the end of each application the testicle was undoubt- edly smaller than at the beginning and drawn up to the superior region of the scrotum. Each day there was perceptible diminution in its size, observable also before applying the current. The secretion through the opening, however, did not keep pace with the di- minution in size; on the contrary it became more abundant and thinner, but did not at any time assume the character of pus. The testicle was now washed out cheap viagra london internally with viagra will generic lukewarm water and a solution of camphorated cheap viagra london naphthol and olive oil, two drachms to the ounce, injected through the opening in the scrotum di- rectly into the tuberculous mass, the testicle having been well pressed and all detritus and viagra will generic caseous matter thoroughly gotten out beforehand. The quantity in- jected each time was two drachms. The electrical ap- plication was then made and the wound subsequently pressed with camphorated naphthol. The discharge be- gan to diminish and to thicken somewhat, the caseous character changing to a fluid of a smooth, whitish con- sistency, which in two weeks more became serous, very scanty, and a few days later ceased altogether. The tr^ticle was now reduced to four-fifths of its volume at the beginning of cheap viagra london the treatment, and the general health of the patient was satisfactory. In order to be sure that no pockets nor secondary deposits had been made and left in the testicle, a small incision was made followed by a thorough examination. Nothing was obtained beyond a few drops of blood. The testicle presented a consistency similar to the normal one, although there w.is, as a matter of viagra will generic course, some obliteration of the epi- didymis, which formed a thick viagra will generic mass with the testicle and spermatic cord. The wound healed in twenty-four hours by first intention, when the electrical treatment was resumed. This was on December 28th, or just one month and two days from the time when the case was first taken in hand. There had been from December 18th a slight return of the old irritability of the bladder, doubtless sympathetic, for it was con- fined to the viagra will generic trigonum, and there viagra will generic was no viagra will generic prostatic dis- ease nor enlargement of any kind, as digital examina- tion proved. When the discharge had disappeared and the cheap viagra london testicle had become so much reduced in size, the vesical irritability entirely cheap viagra london ceased and never re- turned again, removing with itself all doubts as to its origin. The daily galvanic applications were continued until January 13, 1893, when the testicle was reduced to the normal size and there was a restitutio ad inte- grum, the only difference between the right and left sides being a scarcely perceptible feeling of thicken- ing of the epididymis at its junction with the cord, all the parts being now perfectly and easily recogniz- able by palpation. There had naturally been consid- erable obliteration of the afferent and deferent vessels, also of the seminal ducts, followed, however, by a re- constructive metamorphosis, and although the question of impregnation from the testicle that had been dis- eased might be open to some doubt, it really made no difference practically, as that on the other side had remained perfectly normal. During the ten days in which there was a slight return of the vesical irrita- bility a current of the same strength, ten milliam- peres, was passed through the bladder for five minutes immediately after treating the testicle; the positive electrode being placed on the perineum, the negative just over the pubis, avoiding of course the bone, which being a non-conductor would have seriously interfered with the current, although it would not have stopped it altogether, as we know by our experience of sending a current from one mastoid process to the other. The only other change made in the treatment was to in- viagra will generic crease the strength of the camphorated naphthol solu- tion from that of two drachms to the ounce or one- quarter used in the beginning, first to four drachms to the ounce or half strength, then to six drachms to the ounce or three-quarters strength. Each of these solutions was used for a few days progressively, when the naphthol camphre was used pure until the wound healed entirely. The patient, who had been confined to his bedroom for some weeks, dating from the 26th of November, was able to go out for cheap viagra london carriage exercise the latter part of December and to come to me for treatment on and after January 1st, the testicle being treated at his apartment in the morning in the usual way. I gave him static electricity as a general tonic in the after- noon. My dielectric machine is one cheap viagra london of Carre's, No. 4, the largest size constructed, with an ebonite disc sixty centimetres in diameter and capable of giving sparks twenty-seven centimetres in length. The elec- tromotor force of these machines is reckoned by the rheostat voltameter at about ten thousand volts, static volts differing considerably in force from those of cheap viagra london the continued galvanic or alternating currents. The pa- tient is placed on the isolator in direct communication with the machine by holding in his hand the metallic conducting-rod, and for fifteen minutes is subjected to the effluvia of ozone alternating with static sparks; this was done daily for thirteen days, at the end of which time he left me entirely cured, having recovered his normal weight and color. He wrote to me some months subsequently and after his return to America, saying that he has had no return of his old trouble. He came back to Paris about two years from the time he ceased treatment and was then still in good health. In this piper the term orchitis is used in its general sense, although the main seat of the disease was the epididymis, the body of the testis being only in part indirectly affected, the thickening of the tunics giving May 1 6, 1896] MEDICAL RECORD. &95