320 Diseases of the Genital Organs 



berculosis), in which case an early and rather persistent 

 symptom is sterility, with a too frequent, or it may be per- 

 sistent desire for the bull (nymphomania). * * * jj^ 

 cases of uterine tuberculosis, the nymphomania may be 

 supplemented by a purulent discharge. * * * Genital 

 tuberculosis in the bull is associated with nodular swelling 

 of the testicle, epididymis, or cord, hydrocele, and excep- 

 tionally tubercle on the penis or in the prostatic sac." 

 Friedberger und Frohner^ state that genital tuberculosis 

 occurs rarely in both sexes and may invade any portion of 

 the genital system. Hutyra und Marek" mention the occur- 

 rence of tuberculous epididymitis and orchitis, sometimes 

 accompanied by tuberculous abscessation of the testis, with 

 a consequent fistula. They consider penial tuberculosis as 

 extremely rare, and claim that when it occurs the glans 

 penis becomes studded over with tubercles. Quoting Hess, 

 they regard uterine and tubal tuberculosis as rare and as 

 causing sterility and nymphomania. Vulvo-vaginal tuber- 

 culosis is mentioned as a rare possibility. Hoare'' describes 

 genital tuberculosis very briefly, without according it an 

 important place. He admits the possibility of transmission 

 by copulation. He mentions a single case of primary penial 

 tuberculosis. 



Most veterinary literature concerning genital tuberculo- 

 sis is in sharp contrast with my personal observations. The 

 difference in view is possibly due to a variation in the di- 

 rection of study. Veterinarians rarely look for genital tu- 

 berculosis, since ordinarily it does not aifect the general 

 well-being of the patient. Clinically, it is only when one 

 concentrates his observations upon the diseases of the geni- 

 tal organs in connection with sterility that he recognizes 

 genital tuberculosis and realizes its importance. The geni- 

 talia are not inspected frequently in the abattoir. They are 

 not used as human food. When they are tuberculous, the 

 lesions possess little or no importance in relation to the 



^ Speciellen Pathologie und Therapie. 



^ Spezielle Pathologie und Therapie der Haustiere.- 



^System of Veterinary Medicine. 



