RovAL Society. 347 
diately under that part of the bladder which the flafF preflcs 
upon. 
He took another body, and having put in the bladder a 
fmall ftone, he made the incifion much lower, piercing the 
bladder under the ftaff, by which he extraiSed the ftone ^ then 
difleding the body, he found that the bladder was cut thro' 
together with its arteries, which can hardly be avoided, by 
reafon the bladder is fo much contra6ted there, that both fides 
of It are cut before the operator either feels the ftone, or fees 
any urine running out. 
He took a thud body, in the bladder of which he put a 
very large ftone ; the ftaff being in it, he made the incifion 
upon the fat protuberancy under the Ifchium, and pierc- 
ing the bladder below the ftaff, he immediately found the 
itone with the point of the knife, with which he cut the blad- 
der the length of an inch, thro' which having introduced the 
CoriduEior and then the ForcepSy he got hold of the ftone, and 
drew It out very eafily 5 afterwards diffe6ling the body, he 
found that neither the Vefictdce feminaks, nor any artery, had 
been cut, by reafon that the weight of the ftone prefTed the 
bottom of the bladder lower than the VcficulcC and arreries. 
M. "Bufjiere thinks, that this way might be made ufe of when 
the ftone IS very large, and he prefers it to the old way 5 becaufe 
by this means is avoided that extraordinary and violent dilata- 
tion of the neck of the bladder, which the ftone caufes when 
it is very large, and is the caufe of the inflaramition and morti- 
fication of the bladder that kills the patient 3 but when the 
ftone is fmall, or but of an indifferent bignefs, the old way is 
eafier and furer 5 but he does not approve at all of the Hermit's 
new method on women, fince one cannot avoid cutting the 
neck of the Uterus, which might prove to be of fome ill con- 
fequence, m cafe the woman fhould come to be with child ; 
and therefore, when the ftone is but indifferent large, the old 
way is preferable here to any other 5 but if it was large, 
then he had rather thruft his fingers into the Vagina, and 
bring the ftone as near the neck of the bladder as can be, and 
cut the membranes of the Vagina and bladder upon the ftone j 
by this way is prevented the incontinency of urine, which 
always follows the extraction of great ftones in women 5 he cut a 
woman by that way, from whom he extra6ted a ftone weighing 
five ounces and a half, who recovered very well ^ neither does 
he approve cutting upon the gripe, as it is pradlifed by fome 
mountebanks; becaufe in that way the 'Projlatcs are cur, 
X X 2 which 
