The Abdomen 255 



from an infected animal by the act of copulation. It may develop 

 on any part of the organ, but most commonly occurs at the base 

 and on the corresponding portion of the preputial mucosa. In 

 some cases it is confined to the glans, while in others it covers the 

 entire organ. 



Symptoms and Diagnosis. Usually, attention is first drawn 

 to the condition by the emission of sanguineous non-purUlent liquid 

 from the prepuce, and by the presence of circumscribed or diffuse 

 tumefaction of the latter. Palpation gives a subpreputial uneven- 

 ness. On exposure of the penis the growths are easily discern- 

 ible. In appearance, they vary according to the stage of their 

 development. At the period of discharge they appear as greyish- 

 reddish or pinkish vegetations, which are soft and friable, and bleed 

 easily on being touched, and are generally sessile, but may be 

 pedunculate. In the very early stages, i. e., a few days after the 

 infection has been sustained, they have their inception as minute 

 vesiculate solid pimples. The rate of growth is not rapid, and 

 sometimes several weeks elapse before there is much increase in 

 size. Nevertheless, the disease is progressive and the erstwhile 

 papules gradually assume the vegetative character. A growth of 

 several months' standing exists as a firm lobulated mass of purplish 

 color, and is generally accompanied with cachexia and emaciation. 



Treatment. These growths, when of recent origin, may be 

 easily removed and without liability to recurrence, but when long- 

 standing and a considerable area of mucosa is involved they are 

 eradicable only with difficulty. To effect removal of circumscribed, 

 limited growths, expose the penis in the usual manner, anesthetise 

 locally with cocaine and snip them with curved scissors, including 

 with them a portion of the mucosa, to which they are attached. 

 Considerable hemorrhage may occur which may be arrested by 

 drawing the divided mucosa together with a few fine sutures. In 

 some cases it is necessary to slit and afterwards sew up the prepuce 

 in order to more effectually reach the tumors, and repeated opera- 

 tions at intervals of fifteen or twenty days may be required to effect 

 complete ablation. Thermo-cauterization should be tried when re- 

 crudescence takes place. Curettage should not be employed, as it 

 involves risk of recurrence of the growth by fresh inoculation of 

 neighboring healthy mucosa. 



In extensive invasion of the parts amputation of both penis 

 and prepuce is indicated. 



