This morbid condition consists in a varicose state of the spermatic veins. It is almost always found upon the left side, owing to an anatomical peculiarity of the spermatic vein of that side. It has been supposed to be a result of masturbation and its effects, but is certainly caused otherwise in many cases. It is not infrequently found in these patients, but Prof. Bartholow contends that even in such cases, we should "consider its presence, in general, as accidental." Atrophy of the left testicle is often produced by the pressure of the distended veins.

The Treatment of Varicocele

The inconveniences of the disease may be greatly lessened by wearing a suspensory bag; but the best treat ment is an operation by means of which the scrotum is converted into a permanent suspensory bag.