VOL. LXVI.] VHILOSOPHICAL TRANSACTIONS. 115 



ture as far as the rings of the catheter, as being no longer of use, and the 

 catheter remained in the bladder till the urine was all drawn off; during which 

 time, that instrument was moved different ways, to search for the stone which 

 was supposed originally to have occasioned the disorder ; but none was to be 

 found. The water being discharged, the catheter was taken out, and the pa- 

 tient put to bed. The parts were repeatedly fomented ; and a draught, with 

 half a drachm of nitre and 25 drops of laudanum were given, and 2 more of 

 the same kind were ordered for the night. 



'lOth. He had had a very good night, and had made water 5 or 6 times through 

 the aperture made by the trocar. He said, that as soon as the bladder had col- 

 lected a certain quantity of urine, he had felt an inclination to make water ; that 

 then sitting on a chamber-pot or bed-pan, and straining in the usual way, the 

 urine had rushed out at the aperture per anum in a stream ; and that none had 

 passed by the urethra. Not contented with his account of the matter. Dr. H. 

 desired him to make water in his presence, and was witness to this curious and 

 extraordinary power of retention of the urine in a wounded bladder, and of dis- 

 charging it at pleasure through an artificial passage. The emphysematous swel- 

 ling of his head and face was almost gone. He was directed to drink the pec- 

 toral decoction with the addition of some marsh-mallow root, sweetened with 

 manna, and acidulated with orange or lemon-juice ; and the nitrous opiate was 

 repeated. 



27th. He complained of a fulness of his belly, probably owing to his not 

 having had a stool. He still made water through the trocar aperture as before, 

 and whenever he pleased ; but now he began to perceive a little urine come by 

 the urethra at the same time. They did not choose to order a clyster, lest the 

 gut should be injured by the pipe, but to wait the effect of the manna, which, 

 with the night-draught, was still continued. The resolution of the inflamma- 

 tion being now begun, as was conjectured by the urine finding its natural passage 

 by the urethra, a bougie was introduced beyond the stricture at the neck of the 

 bladder, and to very good purpose. 2Stb. He was much better, he had had 

 some stools, and had passed most of his urine by the urethra. 30th. No 

 water had issued through the aperture either this morning or the preceding day ; 

 the whole, though in a small stream, had flowed by the urethra. He com- 

 plained of a soreness in ano. .31st. This day he felt that soreness only when he 

 went to stool. The stream of urine by the urethra was still small. April 6th. 

 The puncture through the rectum and bladder appeared to be quite healed. 

 The urine was discharged in a tolerable stream, the passage being, as he ob- 

 served, much wider than it had been for ] 3 years before. 



He continued the daily use of the bougies : and, being sensible of the great 

 benefit he had received from them, willingly persevered in their use, till the 



a 2 



