[ 47 6 1 
Elizabeth England, aged 48 (in all other relpects 
an healthy woman) had been afflicted with the fym- 
ptoms of the tone in the bladder for about two 
years, for which fhe put herfelf under my care. 
After having prepared her in the- ufual manner, I 
proceeded to the operation 3 but in a method fome- 
what different from that generally pradtifed, which 
is effected merely by a forcible dilatation, and confe- 
quent laceration, of the urethra. For having alrnoil 
always obferved an incontinence of urine, in confe- 
quence of this method of operating, for this reafon, 
and from the fuccefs which I had fome time ago 
met with, in an extraordinary cafe communicated 
to this Society, I departed from the ufual method 
of operating, and cut the urethra obliquely upwards 
on the right fide, to about half its length 3 which 
I eafily did, by introducing a fmall knife into the 
groove of the ftaff, and found very little force re- 
quilite to the introduction of the neceffary inftru- 
ments into the bladder, and in the extradtion of the 
ftone, &c. 
Upon laying hold of the hone, it broke 5 fo that 
only a part of it, about the fize of a pigeon’s egg, 
was extracted, upon the firft introduction of the for- 
ceps. Upon introducing the forceps a fecond time, I 
extracted a ragged and irregular piece of bone, 
weighing 16 grains, which is now fubmitted to your 
infpedtion. Before it was cleanfed, its cavities ap* 
pear’d fill’d and cover’d with a mixture of hairy 
and Eony particles 3 from whence I conjecture, that 
it probably was the nucleus of the fione. 
Nothing remarkable occurr’d during the cure, 
but that the patient, ever fince the fecond day after 
the 
