THE URO-GENITAL SYSTEM 121 



proliferation of fibrous tissue. In such cases there is a 

 variable sized opening or unhealed surface. If the 

 large fibrous mass is removed and incised it will be found 

 to contain necrotic centers composed of fluid, semi- 

 fluid, or caseous material. These centers are surrounded 

 by fibrous tissue, the entire mass being made up of layer 

 upon layer of fibrous lamellae. The end of the vas 

 deferens will be found involved in the mass, to which it 

 usually adheres firmly, or to the external surface of the 

 wound, by dense fibrous tissue. This condition in the 



Fiff. 5. ACTINOMYCOSIS. 



beginning may be identified by the tumefaction and 

 particularly by the bad odor of the discharge. Later 

 the large lesion is observed with the characteristic putrid 

 discharge from the open wound. 



Treatment. In the early stages the condition may 

 be relieved by the energetic application of disinfectants, 

 and if necrosis is present the excision or curettment of the 

 necrotic centers. After the dense mass of fibrous tissue 

 has formed, only the careful removal of the entire mass 

 by operation is successful; and in this the greatest care 



