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and Hazard attending the Extraction of large Stones 
this Way, has really robb'd it of its Title to Per- 
fection ; for tho' the Incifion be made to the Wifh, 
quite through the Proftate, and carried on to the 
Neck of the Bladder, if this be the Cafe (for it fre- 
quently happens to the contrary) as the Bladder itfelf 
in general is not, nor in all Probability can be, 
wounded in this Way of operating, the real Aper- 
ture after all for the Exit of a large Stone is fo 
(mail, that the Parts mull fuffer moll violent Lacera- 
tions, and a Train of confequent Evils. 
The old Method indeed is greatly more obnoxious 
to this Misfortune, becaufe the Parts are torn to Pieces 
by downright Violence, without any previous Incifion 
of any Confequence to prepare them for the Egrefs of 
the Stone ; and this Imperfection in the Operation is fo 
notorioufly apparent, and fo definitive in fad, that 
this Method is defervedly in Difefteem, and almoft 
univerfally difearded. 
I wifh it could be faid, that the lateral Method vuas 
intirely free from this Imperfection j but I fear an 
impartial Inquiry will make it clear, that three Fourths 
of the Accidents which have attended this Operation, 
may in truth be attributed to exceflive Diftenfions and 
Lacerations of the Bladder, thofe few Cafes, which 
have mifearried from (what may have been fuppofed) 
a mere fymptomatic Fever, will, I believe on a ftriCt 
Difquifition, afford a fhrewd Sufpicion, that this very 
Fever itfelf arofe from fome Violence offer'd to the 
Bladder, in the forcible Extraction of the Stone. 
I will not enter into a ftriCt Examination of thofe 
fatal Symptoms which fometimes fucceed the Ope- 
ration in grown Subjects, in order to prove that they 
D in 
