CALCULUS WITHIN THE URETHRA. 
379 
to be flooded), no urine escaped, and it seemed as though the 
bladder, from long distension, was quite unable to act upon 
its contents; so the catheter was again passed, when the 
enormous quantity of two gallons of urine escaped ! then, 
having well examined the bladder, per rectum , thinking it 
might contain another calculus, I ordered the catheter to be 
left in for the night, brought the wound together by single 
suture, had my patient’s ears pulled, and legs well rubbed 
and bandaged ; left him for a short time, to see the effects of 
the operation, when I found pulse returned, but irritable, 
countenance more lively, and inclination for food. 
Gave aloes 3yj, c. opii sss ; ordered gruel and warm mash ; 
and to be locked up for the night. 
22nd, 1 p.m. — Urine escaping through tube, which con- 
tinues in; bowels had not acted; pulse irritable; disinclination 
for food ; extremities still cold ; slight serous discharge from 
wound. 
Gave enemata , to be repeated every two hours until bowels 
acted ; ordered legs, &c. to be well rubbed, and to have plenty 
of thin gruel, which he drank eagerly. 
23d. — Medicine acting, and my patient appears better, — 
but the catheter had come out during the night, and, although 
greatest part of the urine escaped through the wound, granu- 
lations were springing up, so I determined to interfere as 
little as possible. 
25th. — Suppuration being now well established, I took out 
the suture, and applied a little Ol. olivae, to sheath the granu- 
lations from the acridity of the urine, which still passed in 
greatest quantity through the wound: that, with the occa- 
sional application of the Tr. Myrrhae Co. constituted the 
whole of my after-treatment ; and, although the urine escaped 
in small quantities, up to the 15th of May, my patient is now 
perfectly well, and has returned to his regular work. I may 
add, the calculus weighed 3yj, apothecaries’ weight ; in shape 
was long ; 2f inches in circumference ; in centre, 2| inches ; 
each end was rounded : I had slightly broken one with 
the catheter and forceps ; it is rough in its nature, and seems 
composed of carbonate of lime and mucus. 
I am, Sir, yours truly. 
