An American text-book of genito-urinary diseases, syphilis and diseases of the skin . ets of true boneare found in the fibrous coverings of the erectile tissues, resembling thosebony plates which sometimes form in muscular tissue after repeated mechani-cal irritation. TUBERCULOSIS. Tuberculosis of the penis is rare, but occurs in two forms. The majorityof the cases are examples of chronic tuberculous ulceration of the skin ormucous membrane resembling that seen elsewhere, the ulcers having thesame irregular worm-eaten shape, the same blue undermined edges, and thesame slowly sloughing or poorl


An American text-book of genito-urinary diseases, syphilis and diseases of the skin . ets of true boneare found in the fibrous coverings of the erectile tissues, resembling thosebony plates which sometimes form in muscular tissue after repeated mechani-cal irritation. TUBERCULOSIS. Tuberculosis of the penis is rare, but occurs in two forms. The majorityof the cases are examples of chronic tuberculous ulceration of the skin ormucous membrane resembling that seen elsewhere, the ulcers having thesame irregular worm-eaten shape, the same blue undermined edges, and thesame slowly sloughing or poorly granulating base. The other form, whichis very rare, appears to begin in the depth of the erectile tissue, producinga necrotic mass closely resembling the tuberculous sequestra seen in spongybone, the wedge-like shape of the latter, it will be remembered, suggestingan origin from a tuberculous embolus having been lodged in one of thevessels. A section through this focus in a case of this kind reported byKraske showed a rather firm yellowish-white mass of necrotic tuberculous MX,. Fig. 37.—Varicose veins of penis (Demarquay) tissue in the midst of the erectile tissue of the glans, sharply limited fromthe healthy tissues about it, which had penetrated by extension of the slough-ing process through the mucous membrane of the dorsum, producing a cir-cular ulcer with ragged, thin, undermined edges, and a base consisting of thesurface of this tuberculous mass. The diagnosis from a gumma would notbe very easy in cases of this kind. 72 DISEASES OF THE PENIS. VAEICOSE VEINS. Varicose veins are frequently found upon the penis (Fig. 37), and as arule they are of little pathological significance, although occasionally theymay be accompanied by a loss of power in the erection. At all events,failure of erection has been successfully treated by ligature of the dorsalvein or other branches, even when the varicosity of the vessel did not appearvery marked. It is difficult to appreciate the


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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis