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Due attention is not generally accorded to the fact that the genital duct proper in the male—seminal vesicle, vas deferens and epididymis—is just as prone to suppuration as is the urethra. Suppuration in the vesicle, it is true, has been recognized, in recent years, as a frequent feature of gonorrhea; but the extension of this infection to the epididymis—frequent and familiar though it be—is not generally considered a suppurating process. Even the best of our modern treatises expressly state that suppuration is exceptional in epididymitis, gonorrheal or other; they consistently prescribe the usual medical treatment, but do not advise the evacuation of pus, except in those rare cases in which fluctuation becomes distinct.
The pus infections of the epididymis and of the vas deferens present a complete though neglected analogy with the familiar pus infections of the fallopian tubes.
BELFIELD WT. PUS TUBES IN THE MALE, AND THEIR SURGICAL TREATMENT. JAMA. 1905;XLIV(16):1277. doi:10.1001/jama.1905.92500430041001i
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