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Excerpt from Progressive Medicine, Vol. 2: A Quarterly Digest of Advances, Discoveries, and Improvements in the Medical and Surgical Sciences; June, 1909
Rawling's paper is based upon an analysis of 120 cases admitted to St. Bartholomew's during the past five years. Of these, 23 patients were between one and ten years of age, 64 between ten and twenty, and 33 twenty years and upward. In 63 the condition was on the right side, in 50 on the left side, and in 7 double. In none of the latter was the failure to descend equal on both sides.
With regard to the personal history, it is stated that in 30 cases there were more or less pain and discomfort, and in 9 cases acute attacks of severe pain accompanied by nausea, vomiting, and soreness. In some cases the symptoms simulated torsion of the cord. In the great majority of cases, however, the patient came to the hospital for the treatment of a lump in the groin. In 90 per cent. Of the cases the condition was associated with a hernia.
Under the age of ten years there was little change in the size of the undescended testis; after puberty, however, there was usually more or less marked atrophy.
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