[ 26 2 ] 
the journey, they burft, and there was difcharged thro’ 
an opening made in the perintcum (that is, the fpace 
betwixt the anus and fcrotum) one of thefe ftones ; 
the other ftone remained firmly fixed in the urethra, 
which I eafily removed, having fir ft cut away as much 
of the difeafed integuments of the acceleratores urinae 
mufcles, and diftended urethra, as I judged necelTary 
to be removed for this purpofe. After the removal 
of thefe parts, I brought together the lips of the 
wound, and kept them fo, by means of that future 
which furgeons call the twilled future, till the parts 
were united, which was effected in about a fortnight. 
Before the future was applied, I introduced a dudile 
inftrument, of a convenient fize, through the penis 
into the bladder, by which means, the paffage was 
kept equally diftended. 
This operation fo effedually anfwered my expeda- 
tion, as totally to remove the incontinence of urine, as 
well as every other fymptom that had attended the 
complaint ; and the patient was, in a fhort time, re- 
ftored to his ufual healthy ftate and corpulency. 
N. B. In the two inftances I have juft now re- 
lated, as well as in the cafe of Thomas Bingham, 
whofe hiftory I communicated to this Society, on the 
33th of December 1759, (vide Philofophical Tranf- 
adions for the year 1760.) I muft obferve, that thefe 
patients, according to the beft information I could 
get, were never attacked with a fuppreftion of urine, 
or a regular fit of the ftone ; for which realbns, I 
conclude, that the formation of thefe calculi did ori- 
ginally commence in the urethra itfelf, and that the 
ftream of urine, in its courfe from the bladder through 
5 the 
