( 3 j ’5 ) 
Lifhotomijlsy as Rojjet's mofi excellent Treatlfe beforel 
introduced the Hypogallrick Section in 1719. Tho' 
I admire Fkms^s defign in making this Fiflula^ yet • 
I can by no means approve of his way of doing it. 
It ought to be performed thus : Place the Patient 
as in Marianus^s Operation ; pafs a Staif into the 
Bladder, then cut the Skin and Fat until you lay that 
Part of the Urethra bare, which reaches from the 
prcjlate Gland to the Cavernous Urethra ; then iDake 
a fmall Incifion into it with the point of your Knife; 
then withdraw the Staff, and pafs a fmall flexible Ca» 
fiula into the Wound of the Urethra ; then drefs the 
Wound S. A. extract the Canula, clean it and intro- 
duce it again every Drefling, that fo you may leave 
a Fiflula in the room of the Wound. 
Through this Fijiula the Patient himfelf or any 
one about him, may eafily pafs an Oiled Probe, 
and pufli the Stone back whenever he finds him- 
felf attack’d with a fuppreflion of Urine, or when 
the Scone preffes hard againfl the SphinBer^ when 
endeavouring to make Water, which otherwife could 
not be done without the Ceremony of fending for, 
and flaying in mifery till a Surgeon comes to pafs 
the Catheter^ which in fuch cafes is not always to 
be done, without a great deal of Pain, and fbme- 
times Danger. By this Fiflula we can alfo very 
eaflly injed: any Liquor that may be thought pro- 
per either to prevent or allay the Inflammation of 
the Bladder, or cleanfe it from the Gravel, or any 
other fort of filth that may colled there, by which 
the increafe of the Stone will be prevented, fe’c. 
In Females all thofe advantages are obtain’d by the na- 
tural ftraitnefs and fliortnefs of the Urethra^ whence 
they never fuffer the tenth part that Males do,- which is 
an inconteflable evidence that when the Paflage into 
T t 2 the 
