584' Dr. Hamilton’s Account of the 
28th, He was much better, he had had fome {tools,, 
and had palled raoft of his urine by the urethra .. 
30 th, No water had blued through the aperture either 
this morning or the preceding day ; the whole., though in 
a fmall ft re am, had flowed by the urethra . He complained 
of a forenefs in ano . 
31ft, This day he felt that forenefs only when he went 
to ftool. The ftream of urine by the urethra was ftill 
fmall. 
April 6th, The puncture through the reBum and 
bladder appeared to be quite healed. The urine was dis- 
charged in a tolerable ftream, the paftage being, as he 
oblerved, much wider than it had been for thirteen years 
before. 
He continued the daily ufe of the bougies; and, 
being fenfible of the great benefit he had received from 
them, willingly perfevered in their ufe, until the ftric- 
ture was fo much leflened, as to permit a free difcharge 
of his water, and by thefe means he obtained a complete 
cure : for, in two months after, he left the town in every 
refpebt well. It was remarkable, that, during the pro- 
grefs of the cure, no urine was perceived to ooze invo- 
luntarily through the opening ; but it was always re- 
tained until the patient, prompted by a fulnefs of the 
bladder, made his water, as has been related. 
Having given as accurate an account of this cafe as I 
am able, I muft now, sir, in juftice to myfelf, beg leave 
to allure you, that I had neither heard, nor read, of any 
method of perforating the bladder, limilar to that which 
I have related, before you kindly informed me in your 
, 4 laft 
