Multiple Stones in the Bladder

a small atrophied uterine body was felt above and behind it. On palpation of the inverted anterior vaginal wall a number of stones of different sizes were felt in the bladder; some appeared to be very large. A sound could not be passed into the bladder further than half an inch, as it seemed to be full of stones, while the prolapsed uterus could not be replaced owing to obstruction by the stones. There was more or less continuous dribbling of foul-smelling urine, which contained albumin and pus. The patient was aged, feeble and emaciated. Preliminary treatment with urinary antiseptics was carried out. The suprapubic route was found impassable, so an incision was made in the prolapsed anterior vaginal wall into the bladder. A number of stones, seventy-six in all, were removed; they varied in size from a pea to that of a hen's egg, and were phosphatic in character. The largest weighed 1? ounces and all of them together, 4 ounces.