. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Gayet and Favre report a case (Obs. 2) of sclerogumma of thebladder and prostatic urethra. The bas-fond was elevated, thick-ened and reddened, and indurated. The fiery red surface pre-sented a few small ulcers and numerous fissures giving the ap-pearance of cerebral convolutions. The general appearance re-sembled that seen in cancer of the cervix which had involvedthe bladder wall. The same character of lesion is described byPicot. Syphilitic lesions of the bladder both secondary and tertiarydeve
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Gayet and Favre report a case (Obs. 2) of sclerogumma of thebladder and prostatic urethra. The bas-fond was elevated, thick-ened and reddened, and indurated. The fiery red surface pre-sented a few small ulcers and numerous fissures giving the ap-pearance of cerebral convolutions. The general appearance re-sembled that seen in cancer of the cervix which had involvedthe bladder wall. The same character of lesion is described byPicot. Syphilitic lesions of the bladder both secondary and tertiarydevelop slowly and show no tendency to heal long duration of symptoms in the reported cases is a strik-ing feature of the clinical history. The secondary lesions aresuperficial; the tertiary involve the deeper layers of the bladderwall and unless arrested may result in perforation. Such a per-foration developing rapidly and involving the peritoneal surfacemay terminate in fatal peritonitis. If the process develops moreslowly a loop of bowel may become adherent to the bladder and. Tf;rtiary of The; Bladder Fig. 113.—Syphilitic ulcerationof the bladder. Male, age sixty-six years. Chancre at twenty-twoyears. Hematuria and painful uri-nation for six months. Lesions dis-appeared after ten injections ofcalomel and one of neosalvarsan. —Gumma at the vesicalneck. Female, age fifty years. Pro-fuse hematuria for eight days andpainful urination. This form ofbladder syphilis is easily mistakenfor new growth. Several such caseshave been described. Fig. lis.—Appearance of the le-sion after one months treatmentwith three injections of neosalvar-san. Cystoscopy ten days latershowed a normal bladder. (From Gayet and Favre: Jour-nal d Urologie, vi, 45.) SYPHILIS OF THE GENITOURINARY ORGANS 291 perforation into the bowel occurs. Thus sjqiliilis is one of theetiologic factors in the production of vesicointestinal or vesicovaginal fistula m
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
