=I. MALE PELVIS.= 1. =Penis.= Size, anomalies, condition, character
of prepuce, evidence of circumcision, presence of smegma, character
of meatus, discharge, wounds, scars (on and back of corona),
evidence of syphilis, neoplasms, etc. Postmortem priapism occurs
particularly in leukæmia. It may be caused also by traumatic or
infective thrombosis and hæmorrhage, tumor-metastases, inflammatory
infiltrations, and in death from hanging. The most important
pathologic conditions of the penis are: inflammations (balanitis,
posthitis, cavernitis, gonorrhœa, etc.), gangrene, phimosis,
paraphimosis, præputial concretions, soft chancre, hard chancre,
secondary syphilides, traumatic lesions (fracture, hæmorrhage,
urine-infiltrations, etc.), anomalies (hypospadias, epispadias,
etc.), tuberculosis (rare), condylomata, elephantiasis, cornu
cutaneum, carcinoma, sarcoma (rare; melanotic sarcoma the most common
form), secondary carcinoma (primary in prostate), lipoma, angioma and
teratoma.
2. =Scrotum.= The most important pathologic conditions of the scrotum
are: œdema, inflammation, gangrene, trauma, burns, elephantiasis,
carcinoma, melanotic sarcoma, lipoma, fibroma, myofibroma,
lymphangioma and teratoma.
3. =Testis and Epididymis.= Testis and epididymis weigh 15-30 grms.
Note _size_, _form_ and _consistence_. Normal color of cut-surface
is grayish yellow; becomes brown in atrophy. Note character of
tunics (color, lustre, smoothness, consistence, etc.), and contents
of sacs (hydrocele, hæmatocele, empyema, etc.). The most important
conditions affecting the testes are: inflammation (orchitis,
epididymitis, vaginitis, abscess, hæmatogenous inflammations in
pyemia, mumps, scarlet fever, typhoid fever, variola, chronic fibroid
orchitis in syphilis, gonorrhœal epididymitis), tuberculosis,
gonorrhœa, syphilis, actinomycosis, leprosy, leukæmic infiltrations,
atrophy, compensatory hypertrophy, cryptorchidism, hydrocele,
varicocele, spermatocele, cysts, malignant teratomata (syncytioma,
cysts, cystocarcinoma, adenocarcinoma, adenoma, adenosarcoma,
cystosarcoma, rhabdomyosarcoma, chondroma, osteoma, myxoma, etc.),
carcinoma, sarcoma, lipoma, fibroma, etc., metastatic sarcoma and
carcinoma, dermoid cysts, benign teratoma, parasites (echinococcus
is rare). Tuberculosis is most common in the epididymis; syphilis
more frequently affects the body of the testis. Torsion of the vas
deferens may occur; atrophy of the testis may result. Twisting
or thrombosis of the spermatic vessels may cause gangrene of the
testicle.
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