erculosis the symptoms are varied.
If it starts in the testicle, this appears normal or larger in size, but
never reaches extraordinary dimensions. The surface of the testicle is
at first smooth in the case of increased tension, later only does it
become irregular, bumpy and of unequal consistency.

If the starting point is in the epididymis, hard, rounded lumps are
formed generally in the head or tail of the epididymis, rarely in the
body. These increase in size and cause a swelling often of extraordinary
dimensions, the surface of which appears hard, irregular, bumpy and in
certain parts yielding and elastic. If the process is extended to the
testicle, this also increases in size. Then both together form an oval
swollen mass and can not be distinguished from each other.

Striking changes appear only later and consist in the softening of the
lumps and in the development of abscesses.

Very soon the lobuli are affected. The same are then thickened in the
septa, are hard and form an irregular, bumpy swelling surrounded by more
or less thickened tissue.

Very soon tuberculous changes are caused in the prostate gland, an organ
situated near the intestine and the functions of which are to dilute the
semen. A hardening is often the first sign, this is followed by
increase in size and then softening.

With the affection of the prostate gland, that of the urethra also
begins, which passes through the middle of the prostate gland. This
disease often appears in the form of a yellowish secretion, which is
more and more increased and becomes ichorous with the decay of the
urethra and the prostate gland. This secretion must be distinguished
from that which as a venereal affection caused the whole process. The
tubercular derangements do not only extend forward but also upward. The
bladder, the ureters and the kidneys are affected and show extreme
derangements with altered urinal secretions and excretions.

Of other symptoms of tuberculosis of the testicles pain deserves
especial mention. The same is slight in the beginning, but often becomes
insufferable.

The symptoms here related often increase very slowly. Essential changes
are caused during the chronic course of tuberculosis of the testicles if
suppuration sets in. The skin is perforated and fistulae are formed. If
there is no halt in the process, general tuberculosis results and this
has until now always caused death.

According to the time in which the general derange