Surgery; its theory and practice . ss, and the application of astimulating ointment or of iodoform. Should the testicle becomecompletely disorganized it had better be excised. Syphilitic disease of the testicle occurs during the latesecondary and the tertiary stages of syphilis. Pathology.—Ihelesion in the earlier stages of syphilis usually takes the form of asmall-cell-infiltration of the intertubular connective tissue ; in thelater stages, of distinct gummatous masses, resembling gummatain other situations. The body of the testicle alone is usuallyaffected, and though, in some instances, syp
Surgery; its theory and practice . ss, and the application of astimulating ointment or of iodoform. Should the testicle becomecompletely disorganized it had better be excised. Syphilitic disease of the testicle occurs during the latesecondary and the tertiary stages of syphilis. Pathology.—Ihelesion in the earlier stages of syphilis usually takes the form of asmall-cell-infiltration of the intertubular connective tissue ; in thelater stages, of distinct gummatous masses, resembling gummatain other situations. The body of the testicle alone is usuallyaffected, and though, in some instances, syphilitic epididymitis ismet with, the cord and epididymis generally escape. In thesecondary stage both testicles may be imiilicated, either simul-taneously, or, as more often happens, one after the other, thedisease here, as in other secondary affections, manifesting itstendency to be symmetrical. Under appropriate treatment thesmall-cell-infiltration may be completely absorbed, leaving the SYPHILITIC DISEASE OF THE TESTICLE. 745. Syphilitic testicle. Gummatous variety. ( Hospital Museum.) testicle apparently little, if at all affected ; or it may undergofibroid changes, and the subsequent shrinking of the fibrous tissueproduce more or less atrophy of the organ. But it seldom breaksdown and suppurates, as the gummatous form in patients withundermined constitutions is apt to do. In the tertiary affectionone testicle only is, as a rule, involved, the asymmetrical characterof tertiary syphilis being thus borne out. The gummatous ^^- 3^°- masses may clear up undertreatment, but where the con-stitution is impaired they areliable to break down and sup-purate. The typical appear-ance of a gummatous testicleon section is seen in Fig. organ is occupied by largeyellowish-white nodules of atough, fibrous, non-vascularmaterial; some of the gummataare distinct; the remainderhave coalesced into a masswhich occupies the anteriorpart of the organ, A loosefibroid tissue,
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
