Quinine Urethane in a Case of Hydrocoele

By K. VENKAT RAO, Purasawalkam Vepery, Madras. On September 23rd, 1930, a man, aged 25, "came to me to have his hydrocoele tapped, as he wag afraid of operation. The hydrocoele, which was of a fairly big size and tense, measured 8 inches in length and 4 inches in diameter. It was of six months' duration. With due aseptic precautions, it was tapped by means of a trocar and cannula and after the thin clear serous fluid was completely removed 2 c.c. of quinine urethane (P. D. & Co.) was introduced into the sac through the cannula by means of a 2 c.c. syringe. The cannula now being withdrawn, the fluid injected was driven to all the parts of the cavity by gentle massage. After a week, the swelling had regained its original size and the fluid, which was clear, was removed. A week later when the patient saw me the hydrocoele had again attained three-quarters the original size. This time, the fluid was withdrawn and another 2 c.c. of quinine urethane injected and he was advised to come to me after a week. Now, when he came, hydrocoele fluid had collected to nearly half the original size. This fluid was withdrawn and from that day no further fluid has collected.