A compendious chyrurgerie: gathered, & translated (especially) out of Wecker, at the request of certaine, but encreased and enlightened with certaine annotations, resolutions & supplyes, not impertinent to this treatise, nor vnprofitable to the reader: published for the benefite of all his countreymen, by Ihon Banester maister in chyrurgerie

CHAP. XXXIII. Sarcocele.

SArcocele is a fleshie rupture•• as when fleshie matter groweth in the fibrous knittings of Scro∣tum. It may come of some in∣warde fluxion occasioned by some stroke, leaping, &c. or some incision for rupture, and not rightly done. The parte affected is the testicle, or nerues, or coates thereof, hardened by the growinge of flesh ••mongest them. It is knowen euen by feeling•• as also in sight: The tumor is rounde, longwise, following the fashion of the testicle: harde, and in long time, by little and little encrea••eth. Like∣wise, if it be Schirrous, it is without paine: but with a pricking kynde of paine, if it be maligne.

Hernia Carnosa notably growne,

cannot be cured, but the testicle is to be taken out.

To take away the same by incisi∣on, you shall worke on this sorte: place the patient, as in the cure of En∣terocele aforesaide, and make the like diuision also, and if the ••esticle haue become faultie, through flesh engen∣dred thereabout•• ••ut away both the membran a Darto••, & erythrois: & lif•• vp the t••sticle, and take it out with erythrois: seuer b cremaster from the vessels, and cut c it away: binde the vessels, ••nd take awaye the testicle, that had so ••oyned it self with super∣fluous growing flesh, as an vnnatural thing. But if this same growinge of flesh, be in anie coate or vessel, then after the diuision of scrotum, and the membrans vnder the flesh, take away all that that hath growen into fleshi∣nesse: but if the hinder commissure, or seame be couered with fleshe, take away the same commissure, and the testicle withall: for without it the te∣sticle cannot remaine. Moreouer, there are incident to the testicle To∣phous, or knottie growings•• hardning vppon the membran ••rythrois: stifning

the same much, and yelding hardnes, and inequalitie in handling: thereby differing both from the fleshie and watrish ••uptures: yet it is to be cured by the hande, as is the fleshie rupture.

ANNOTATIONS.

^a By dartos, AEgyneta vnderstand••th not the second coate of the testicle, as wee doe, but the middle skinnes that ••ye s••ro∣tum to Erythrois.

^b By Cremaster, the same author mea∣neth to note a certaine nerue (which o∣therwise vntruely also he calleth Para∣s••ra••es) which should spring from the spi∣nall marrowe, and descend with the other vessels, to the testicle, and that it shoulde be deputed, to conuay the sede to the yard: but beeing onely a fansie of his owne, wee cannot receiue it.

^c Wordes moe then neede. The scope i••, that after artificiall binding of the vess••ls the testicle with all the carneous growing be cut away.

Notes

• Def. See Aeg. li. 6. c 63.
• Causes & signes.
• Prog.
• Cure.
• a

  By dartos, AEgyneta vnderstand••th not the second coate of the testicle, as wee doe, but the middle skinnes that ••ye s••ro∣tum to Erythrois.
• See Aeg. li. 6. c. 61.
• b

  By Cremaster, the same author mea∣neth to note a certaine nerue (which o∣therwise vntruely also he calleth Para∣s••ra••es) which should spring from the spi∣nall marrowe, and descend with the other vessels, to the testicle, and that it shoulde be deputed, to conuay the sede to the yard: but beeing onely a fansie of his owne, wee cannot receiue it.
• c

  Wordes moe then neede. The scope i••, that after artificiall binding of the vess••ls the testicle with all the carneous growing be cut away
• Tophus in the te∣sticle.
• See Aeg. li. 6. c. 61.