Case of Maleformation of the Genital Organs. 
515 
Case of extraordinary maleformation of the Genital Organs. By 
Henry W. Ducachet, M. D. of New York. 
In November, 1814, a man, aged about thirty years, was com- 
mitted to the Bridewell of this city. He immediately revealed, 
to the medical attendants of the house, a singular maleformation of 
his genital organs. His penis was imperforate, destitute of a pre- 
puce, not more than an inch and a half in length, and had an 
excavation upon the upper surface of the glans. A little above 
the insertion of the penis was a tumour, about the size of a 
goose's egg, of a granulated appearance, and of a bright red 
colour. This tumour dilated and contracted irregularly. It was 
largest in the morning, and smallest at night. At the lower part 
of this tumour there appeared two foramina, of a size sufficient to 
admit a crow-quill, and from which the urine continually drib- 
bled. He had a large inguinal hernia on each side. To defend 
the parts from pressure, he wore over them a tin plate, to which 
was appended a contrivance of his own, to receive the water as 
it dropped. His testicles were perfect, and remarkably large; 516 
Case of Maleformation of the Genital Organs. 
and he confessed that he was frequently tormented with an incli- 
nation for venery. It is probable that the umbilical cord entered 
at this tumour, as there are no traces of a navel. In consequence 
of his confinement, he was not able to keep himself perfectly 
clean; so that the neighbouring parts were considerably exco- 
riated by the acridity of the discharge. 
Dr. Hosack, of New York, has in his possession a plaister 
model of a lusus of precisely the same kind, which he took from 
a man who exhibited himself to the students of the university of 
Edinburgh, during his attendance at that school in 1792 Dr. 
Duncan has related several cases of the same nature; but the one 
just detailed is, perhaps, the only one that has ever occurred in 
this country. 
REFERENCES TO THE PLATE. 
A the penis. B the excavation on the glans. C the tumour. 
D D the mouths of the ureters, from which the urine continually 
dribbles. J. W^Jer Jun 'Del. 
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