The constancy with which prostatitis occurs when gonorrhea invades the posterior urethra, and the persistent nature of that inflammation after the subjective symptoms, and the more evident of the objective symptoms, have subsided, give this condition the right to more consideration.
That a gonorrheal inflammation of the posterior urethra ever occurs without involving the prostatic ducts to a greater or less degree seems unlikely. Anatomically, there is little to invite a posterior urethritis to the exclusion of the prostate. The character of the epithelia, the scarcity of mucous glands, and the almost vertical direction of the canal, which is distended so much of the time with urine and made one with the bladder cavity, are factors against a theory that the prostatic urethra can be affected with a gonorrheal infection without the prostate participating.
Acute gonorrheal prostatitis—the division of this affection into the catarrhal, the follicular, and the parenchymatous forms—may
CLARK JB. GONORRHEAL PROSTATITIS.. JAMA. 1907;XLVIII(15):1257-1260. doi:10.1001/jama.1907.25220410033001j