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Hemorrhage from the urethra may occur early or late, and is usually not profuse. The blood is passed with the urine, and without obvious cause, in this latter respect differing from the hemorrhage of renal calculus, which is brought on by severe exercise, such as horseback riding, etc. The source and cause of this hemorrhage are somewhat uncertain, but we believe it is due, as are the symptoms of vesical irritation, to the irritating action of the products of the tubercular process, which are discharged into the prostatic urethra through the vesiculæ seminales. This discharge produces a catarrhal condition of the mucous membrane in the posterior urethra and trigone of the bladder, with, in many cases, erosions and superficial ulcerations. That the vesical irritation and hemorrhage are not manifestations of a tubercular process in the bladder and prostate, we are convinced from clinical observation, as in almost all cases in
MURPHY JB. TUBERCULOSIS OF THE TESTICLE. WITH SPECIAL CONSIDERATION OF ITS CONSERVATIVE TREATMENT. JAMA. 1900;XXXV(21):1346–1349. doi:10.1001/jama.1900.24620470036001k
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