[ 4i6 ] 
the Bladder near its Neck ; the Extent of which I 
could with Difficulty reach. She informed me, fhe 
firft difeovered this Swelling about twenty Months 
before. I obferved it to protrude a little way out of 
the Meatus Urinarius upon draining to make Water 
when the Bladder was full ; but, upon ceafing to drain, 
it prcfently returned. 
It had preferved pretty nearly the fame Appearance 
ever lince it was firft taken notice ofj and about 
eighteen Months ago, a fmall Incifion was made into 
it, on Prefumption of its containing a Fluid, but 
without any EffeCt. 
The Method I took for the Extirpation of the 
Tumor was this: Having fird prepared her as before 
the Operation for the Stone 5 when her Bladder was 
full, I made her drain as though fhe was going to 
make Water, upon which I perceived the Tumor to 
protrude a little ; this I effectually fecured from re- 
turning into the Bladder by the Help of a crooked 
Needle and Ligature paffed through the Tumor in 
different Dire&ions, and endeavoured to draw it 
out through the Meatus Urinarius , but could not 
effeCt it by reafon of its Largcnefs 5 feeing this, I 
dilated the Meatus Urinarius on the right Side by 
cutting it upwards about half way towards the Neck, 
when by pulling the Tumor forwards, I had diffid- 
ent room for tying a Ligature round its Bafts, which 
was very broad. 
For the three firft Days after the Operation, fhe 
complained of a good deal of Pain in the Abdomen . 
On the fixth Day, the Tumor dropt off. 
From the firft of the Operation, fhe voided her 
Urine without any Afliftance, and is now perfectly 
well in every rcfpeCt. 
3 
V. Remarks 
