Gonorrhoea of the male: symptoms :accessory symptoms accompanying gonorrhoea:

-JAHR Georg Heinrich Gottlieb

Accessory symptoms of Ganorrhoea

 The course of venereal gonorrhoea which we have described, and by which it is distinguished from all other discharges from the urethra, usually takes place in all uncomplicated, non-syphilitic forms of the disease. Not in all cases, however, is this course equally simple and regular. Even in cases where the inflammation sets in with more than ordinary intensity, the pain becomes extremely troublesome and is frequently felt along the whole course of the urethra as far as the neck of the bladder; in such cases the discharge is streaked with blood; the swelling of the urethral lining membrane causes a true dysuria, and the urinary discharges, which only take place in drops, are sometimes either preceded or succeeded by the discharge of pure blood. At the same time the erections become more frequent and painful, and, in case the inflammatory involves the corpora sponglosa, are not unfrequently accompanied by a painfully tensive curvature of the penis (chordee). In many cases the prepuce becomes swollen and inflamed to such an extent that it cannot be drawn behind the glans (phimosis); or else the swollen prepuce remains drawn back behind the glans and cannot be drawn forward, so that the glans becomes constricted and gangrene may set in (paraphimosis). The inguinal glands may likewike become swollen (consensual buboes), or small knotty swellings may arise on the dorsum or on the sides of the penis occasioned by a swelling of Cowper's glands or of the adipose tissue surrounding the bulbus of the urethra. If the inflammation is very violent, these swellings may terminate in suppuration, but generally they disappear of themselves in proportion as the gonorrhoeal inflammation abates. There are cases where the inflammation is so intense that the discharge is almost entirely suppressed in consequence (gonorrhoea sicca); in such cases the pain is very acute, the inguinal glands and even the scrotum may become swollen, and ophthalmia, swelling of joints and a high degree of fever may set in. A so-called dry gonorrhoea may exist as an idiopathic, primary form, without any signs-of violent inflammation, or without any inflammation whatever, provided such a designation may be applied to a form of gonorrhoea without any real discharge, or where only few drops of a serous fluid are secreted. In this form the patient, a few days after the infection, experiences a more or less sharp pain at some deep-seated spot in the urethra, from which a very small quantity of infectious matter is secreted, which, though scarcely sufficient to form a drop at the orifice of the urethra, is nevertheless sufficient to transmit the infection during sexual intercourse. Here, too, the pain, dysuria and the troublesome erections may likewise acquire a great degree of violence, and the glans as well as the orifice of the urethra will be found swollen.