. Modern surgery, general and operative. Fig. 1008.—Buttonhole perforation ofthe prepuce following phagedenic chancroid(Horwitz). Fig. 1009.—Buttonhole perforation ofthe prepuce following phagedenic chancroid(Horwitz). the discharge is profuse, purulent, foul and auto-inoculable, and causes freshchancroids by flowing over the parts. The area around a chancroid is redand inflamed, and considerable pain is apt to be complained of. The originalchancroid spreads and new sores appear. The edge of a chancroid is rarelyindurated unless caustics have been used or there is mixed infection with syphilis
. Modern surgery, general and operative. Fig. 1008.—Buttonhole perforation ofthe prepuce following phagedenic chancroid(Horwitz). Fig. 1009.—Buttonhole perforation ofthe prepuce following phagedenic chancroid(Horwitz). the discharge is profuse, purulent, foul and auto-inoculable, and causes freshchancroids by flowing over the parts. The area around a chancroid is redand inflamed, and considerable pain is apt to be complained of. The originalchancroid spreads and new sores appear. The edge of a chancroid is rarelyindurated unless caustics have been used or there is mixed infection with induration fades gradually into the tissues, but the indurationof a hard chancre is sharply defined. Fournier says that a chancroid may havea hard base if the sore is located in the sulcus back of the glans, on a lip of themeatus, or on the lower border of the prepuce of a man with phimosis, or whenthe ulcer is inflamed. The surgeon should always ask if the sore has been cau-terized and how it has been treated. When a
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