714 REPRODUCTIVE ORGANS OF THE MALE. 



sum may lose its contractility ; and in rare cases by hyperplasia of the stroma of the 

 corpus cavernosum. 



INJURY AND HAEMORRHAGE. 



Injuries to the penis are liable to give rise to severe haemorrhage on 

 account of its peculiar vascular character; suppurative inflammation, 

 gangrene, infiltration with urine and its consequences, are also liable to 

 occur. The contractions of the cicatricial tissue by which wounds are 

 healed frequently give rise to various distortions of the organ. 



INFLAMMATION . 



Balanitis inflammation of the glans penis and the prepuce is usually 

 due to gonococcal or syphilitic infection, or it may be incited by foul 

 accumulations of smegma. The parts are red and swollen and may 

 ulcerate. Condylomata may be formed, and adhesions between the pre- 

 puce and glans. The glaus may ulcerate and the prepuce may be much 

 thickened. If the prepuce be long, phimosis may occur with the accumu- 

 lation of exudate beneath. The prepuce may become gangrenous. 



Paraphimosis is produced by the retraction of a narrow prepuce be- 

 hind the glans, with consequent stricture, inflammation, and sometimes 

 .gangrene. 



Inflammation of the Corpora Cavernosa maybe the result of injury, may 

 follow fistulae, may occur in connection with inflammation of the connec- 

 tive tissue of the pelvis, and may accompany the acute infectious dis- 

 eases. It may result in fibrous induration of portions of the corpora 

 cavernosa ; rarely in abscess or diffuse purulent infiltration ; sometimes 

 in gangrene. Larger and smaller masses or plates of very dense fibrous 

 tissue sometimes form in the sheath of the corpora cavernosa without his- 

 tory of antecedent lesion. * 



Tuberculous inflammation of the penis has repeatedly followed circum- 

 cision performed by uncleanly tuberculous persons. 



Syphilitic Ulcers frequently occur on the glaus penis and prepuce. 

 The indurated chancre is formed either from an excoriation in which 

 a pustule is formed or from a little nodule. The pustule breaks and 

 its walls are infiltrated with small round cells. The nodule softens, 

 breaks down, and forms an ulcer whose walls are infiltrated with cells. 

 Syphilitic condylomata are of frequent occurrence on the glans. 



Herpes of the prepuce occurs in the form of small vesicles, which may 

 later become ulcers. Erysipelatous and furuncular inflammation some- 

 times involves the skin of the penis. 



TUMORS. 



Papilloma is found on the prepuce and glaus penis. It occurs in the 

 form of little warty growths, or of composite, cauliflower masses, even 

 as large as a fist. In either case the structure is the same hypertro- 



1 For a study with bibliography of indurations in the corpora cavernosa penis see 

 Sachs, Wiener klin. Wochenschr., January 31st, 1901. 



