URINARY CALCULI WITH DISEASED KIDNEYS, ETC. 271 
organs, I proceeded to examine the urethral passage, when I 
discovered at the extreme end of the penis an accumulation 
of matter very hard and offensive ; but beyond this nothing 
more could be detected either in the prepuce or urethral 
canal. The bladder was next explored per rectum, and found 
to be exceedingly distended with urine and painful even to the 
application of gentle pressure. From its long-continued dis¬ 
tension the muscular coat had lost all power of contraction, 
and consequently the catheter was passed, and a consider¬ 
able quantity of offensive dark-coloured urine (something like 
coffee) was drawn off. The operation afforded immediate 
relief. An opiate was afterwards administered to arrest the 
straining, which soon ceased. A dose of aperient medi¬ 
cine, the application of a mustard cataplasm to the lumbar 
region, and attention to dietetics, soon restored him to his 
usual condition, and again enabled him to resume his accus¬ 
tomed work. 
All went on well, with the exception of the scanty emis¬ 
sions of urine, till the 10th of February, 1869, when early in 
the morning I was aroused to attend to him, he having been 
in considerable pain during the greater part of the night, 
and nothing that had been done by the attendants having 
afforded the slightest relief. I at once examined the penis, 
when I found a large calculus firmly wedged in the urethra, a 
few inches from its extremity. It was removed with some little 
difficulty, inflicting only slight injury to the passage. After its 
removal a small quantity of urine escaped, notwithstanding 
which the catheter was again introduced, and the contents of 
the bladder drawn off. This again allayed the pain, sufficiently 
so indeed as to allow of his removal out of the pit to the sur- 
face< He was now placed in a comfortable box and properly 
cared for in the shape of getting linseed tea, mashes, &c., all 
of which, however, was of little use. On Feb. 15th, about 
11 a.m., he suddenly became worse, but as I was from home I 
did not see him till late at night, when I found him beyond 
all hope of recovery. Death ending his sufferings about 11 
p.m.j being twelve hours from the time of the beginning of 
the third attack. 
Not being able to be present at i]iQ post-mortem examina¬ 
tion, I was disappointed at finding him quartered, &c., on my 
arrival, but fortunately the bladder was left entire in the 
pelvic cavity. I had it removed, but while I was examining 
the penis the knacker carelessly cut into the viscus, making 
an incision, which I fear will somewhat interfere with your 
examination. 
The urethra was in a sphacelated condition throughout its 
