Glans penis

“ The penis (A a, B f) always lies in the upper and fore part of the neck of the mass; it is firmly attached to the pubes by the suspensory ligament. The sheath of the penis is sometimes specially hypertrophied, standing out as a sort of twisted ram's-horn-like projection on the anterior surface of the tumour; this, however, is unusual. Generally the sheath of the penis is incorporated in the scrotal mass, the prepuce being dragged on and inverted so as to form a long channel leading to the glans penis and opening (A l) half-way down, or even lower, on the face of the tumour. ”

“ In the male the genital tubercle increases enormously in size to form the penis. Its extremity becomes bulbously enlarged and forms the glans penis. The lips of the groove or rather of the vestibule, since by this time the urogenital membrane had broken through and had transformed the sinus urogenitalis into the vestibule, the so-called genital folds, meet together and fuse, thus converting the vestibule and the groove into the terminal portion of the male urethra and bringing it about, that the ductus ejaculatorii and the sinus pocularis open upon the floor of that passage. ”

“ However, the glans penis (head of the penis) of many men becomes extremely sensitive immediately after orgasm, and in that case the woman may have to postpone her satisfaction until the next time. If she continues her movements it may cause her husband to have unpleasant sensations, even though he may still have an erection and thus appear to be able to continue. ”

“ If the position with the husband superior is taken, let him, after he has gotten into place and before the organs are united, have his wife take his penis in her hand, and, as he moves his hips up and down, stroke her vulva, especially the clitoris, with the glans penis—not entering the vagina at once, but continuing this form of exterior contact of the organs, for a longer or shorter time—slipping past the wide open vaginal mouth, even when the wife raises her thighs and, as it were, begs for an entrance ”

“ The cock, therefore, as he cannot stay long in his connections, supplies by dint of repeated treadings the reiterated ejaculations of the single intercourse in other animals; and as he has neither penis nor glans, still the extremities of the vasa deferentia, inflated with spirits when he treads, become turgid in the manner of a glans penis, and the orifice of the uterus of the hen, compressed by them, her cloaca being exposed for the occasion, is anointed with genital fluid, which consequently does not require a penis for its intromission. ”

“ The discharge is sometimes thin and watery, sometimes purulent, and on occasion becomes evil-smelling; the ulcerations both spread superficially and penetrate inwards, and may actually destroy the glans underneath the prepuce, so that it perishes altogether. When this happens, Paulus Aegineta (VI. 57.) has a leaden pipette inserted in the orifice of the urethra, to enable the patient to pass water. In other cases the prepuce grows into one with the ulcerated glans penis (Celsus, Paulus Aegineta, Oribasius) . ”

“ In color they are usually pinkish or reddish, and are seen mainly about the genitalia, more particularly about the glans penis, on the inner side of the prepuce, and about the labia, and more rarely about the arms, axillæ, umbilicus, and toes. They are dry or moist according to the regions about which they occur and to other circumstances. The secretion from the moist formation is yellowish and of a puriform character, undergoing rapid decomposition and giving rise to a penetrating and often disgusting odor. They are seen both in men and women, especially in young people ”

“ Those in whom it exists, (says he,) find the glans moistened in the morning when they rise with an unctuous substance: if they then compress the urethra from the root to the end of the penis, they press out some drops of a greenish, gluish, and slightly fetid fluid. They thus lose a little of this fluid after indulging in desires, or after erections which have not been followed by the act of venery. Sainte Marie considers it as probable that the mucus of the urethra then mixes with the fluid of the prostate gland, and forms a part of the discharge. ”

“ Again, if the wife is slow, and the man is quick, in this play for "getting together," it will enable the man to greatly extend and protract what might be called the time of his possible retention, if he can keep the foreskin over the glans penis. Some men cannot do this. If they have been circumcised, of course they cannot! But if the glans penis can be covered with the foreskin during all this playing together, it will enable the husband to prolong his "retentional time" far beyond what he otherwise could. ”

“ The penis palme, or suture de la verge of the French, is the name given to those examples of single cutaneous envelope for both the testicles and penis; the penis is adherent to the scrotum by its inferior face; the glans only is free and erection is impossible. Chretien cites an instance in a man of twenty-five, and Schrumpf of Wesserling describes an example of this rare anomaly. The penis and testes were inclosed in a common sac, a slight projection not over 1/4 inch long being seen from the upper part of this curious scrotum. ”

“ The formation of bone and cartilage in the penis is quite rare. Velpeau, Kauffmann, Lenhoseck, and Duploy are quoted by Jacobson as having seen this anomaly. There is an excellent preparation in Vienna figured by Demarquay, but no description is given. The Ephemerides and Paullini describe osseous penises.
The complete absence of the frenum and prepuce has been observed in animals but is very rare in man. The incomplete or irregular development is more frequent, but most common is excessive development of the prepuce, constituting phimosis, when there is abnormal adherence with the glans. ”

“ Petit describes an instance in which the penis was slightly fused with the scrotum.
There are many varieties of torsion of the penis. The glans itself may be inclined laterally, the curvature may be total, or there may be a veritable rotation, bringing the inferior face above and the superior face below. Gay describes a child with epispadias whose penis had undergone such torsion on its axis that its inferior surface looked upward to the left, and the child passed urine toward the left shoulder. ”

“ In the male it may spread over the penis, involve the glans, scrotum, and upper part of the thighs. In either sex it may spread in the course of years to the pubes, over the perineum, and into the rectum, the recto-vaginal septum in the female ultimately breaking down. At times a profuse watery discharge exudes and even drips from the surface of the new growth, soiling the clothes, soddening the skin, and emitting a peculiarly offensive odour. ”

“ This prepuce is then long, and the penis is found at the end of an undilatable canal, which is formed by the constricted prepuce; at this early stage of our existence it is often additionally bound down to the glans by a greater or less number of adhesions. We are then in what many term a state of physiological phimosis, that [219] being a perfectly natural condition, and one consistent with health; at least, we imagine it is normal. ”

“ In elderly people, with the atrophied penis and elongating prepuce, the constant moisture from the urine on the inner fold and glans adds greatly to the irritation as well as to the discomfort of the patient. ”

“ It also happens that the [22] prepuce from inflammation assumes a dropsical appearance, that is to say, the edges or point swell, and appear like a bladder filled with water; thus, the size which the penis then arrives at is enormous, and to the patient very alarming; it usually, however, subsides in a day or two, if rest and proper measures be employed.
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The glans with some people, is always bare, and the foreskin drawn up around it. ”

“ The circulation of the blood in the glans is checked; the nut puts on a black appearance, and if the ligature be not removed or divided, mortification takes place, and the tip or more of the penis sloughs off or dies away. This state of the prepuce is called paraphymosis: it sometimes happens to young lads, who, having an indicated opening of the foreskin, endeavor to uncover the glans: they succeed, but are unable to pull the prepuce back again. ”

“ We have found the exterior of his person to be like that of other men's, the penis of a good conformation and naturally situated, with the nut or glans bare, its adjoining parts fringed with soft, fine hair, the scrotum of an unexceptional thickness and extent, and in it vessels of good conformation and size, but terminating unequally; on the right side, they end in a small, flabby substance instead of a true testicle ”

“ At the end of the penis is the glans, covered with a very thin membrane, by means of which, and of its nervous substance, it becomes most extremely sensitive, and is the principal seat of pleasure in copulation. ”

“ The seated figures (pl. 9; fig. 15) are each 6 inches in height; these are painted throughout in red, white, and green. Each is seated upon a low four-legged stool, and grasps in one hand by its greatly enlarged spatulate glans the projecting penis, on which he is seemingly performing some sort of surgical operation with a long knife held in the other hand.
The headdress consists of a mitre-like erection in front, with a long queue hanging down to the waist behind. Button-like labrets are worn on each side of the mouth in two of the figures, and all wear large circular ear plugs. ”

“ They certainly become no more to him than other women and children of the pueblo.” Hammond examined one of these men, who had, as he himself informed him, formerly possessed a large penis and testicles “grande como huevos,”—as large as eggs. The penis was in its flaccid state and about an inch and a half in length, with the glans about the size of a thimble, which it very much resembled in shape. ”

“ Our remarks on the cerebellum, spinal marrow, and erectile tissue, may apply to all parts of the genital apparatus; as each part may be a direct cause of venereal excitement, and consequently an indirect cause of venereal excesses. This is certainly true of the mucous membrane, which lines the genito-urinary passages. Every one knows that acute inflammation of the interior of the urethra often causes painful erections, and which may attend a deformity of the penis ”

“ An important and by no means rare obstacle to the completion of intercourse, affecting the male partner in the act, is partial or complete incapacity for erection of the penis. Even excessive smallness of the penis may render coitus inadequate; still more so, however, organic diseases of the membrum, such as obliteration of the corpora cavernosa, or of some of the trabecular channels of these bodies, nodular formations resulting from injury, or cavernitis from gonorrhoea. ”

“ By this mechanism, the urethra, which usually serves as the canal for the outflow of urine, is made for the time being solely subservient to the purposes of the sexual act. That the outlet from the bladder is obstructed by the swollen caput gallinaginis when the penis is erect, is shown by the familiar fact that a man whose penis is erect cannot pass water, although the way is freely open for the ejaculation of the semen. ”

“ We shall now proceed to the systematic description of the direct manifestations of the sexual life, and we can most usefully begin with the genital organs.
Erections occur during childhood; they have been observed even in infancy. They sometimes result from external stimuli, especially of a pathological nature, such as a strictured prepuce, or inflammatory states of the penis. Occasionally in the child, as normally in the adult male, distension of the bladder with urine leads to erection of the penis. ”

“ Where hermaphroditism exists, the sex is usually more masculine; it is a vulgar error to suppose that the two sexes exist entire, and that they [181] are capable of giving and receiving the offices of married life. The present sketch is merely introduced to show the more frequent malformation. The penis exists, but has no urethra: below is an opening resembling the vagina of the female, which is but of short length, at the bottom of which (in fact, the perineum) the urethra opens. ”

“ During erection of the penis, the stricture is completely closed, and the semen accumulates in the urethra above it; when the penis becomes flaccid, the semen flows away, outside the vagina. In some such cases, the semen regurgitates into the bladder, and is not discharged until the patient makes water. Although the supposition is not one in which strict proof is obtainable, it is probable that the man is at fault in cases in which the wives of two or more brothers fail to conceive. ”

“ Now priapism is a permanent and chronic state of erection of the member.—This complaint attacks a patient, when a hot and heavy spirit descends into the member, which not being suffered to readily escape, violently erects the penis. Such patients ejaculate little or no semen, yet feel that the spirit is voided along with it, and so far as there is any emission, appear to be relieved thereby; but they are again attacked afresh by the same evil, until the cause of the tension has been removed. ”

“ When the young person is disturbed suddenly, his hands, if he has not had time to remove them, will be found on or near the genital organs. The penis, also, may be found in a state of erection; or you may even find marks of recent pollution, which might be known by the peculiar odor arising from the semen, and which comes from the soiled fingers. Have an eye to those young persons, whose hands, when in bed, or during sleep, are in the position described: they are onanists, or will become so. The same is true in those who frequently have erections of the penis. ”