Four Cases of Puncture of the Bladder above the Pubis

lie was .completely unable to make water. A hip-bath and a good dose of laudanum having been first tried without advantage, several attempts Were made to pass a catheter into the bladder, but all without success. Some other means of relieving him then forced itself on my attention. At the time, especially as he was a young man with a small prostate, I would have preferred the puncture bv the rectum, if 1 had had a proper instrument for the purpose; but not having one, I performed the operation above the pubis in the usual manner, taking care to enter the bladder at a s;ifc distance from the reflected peritoneum, and yet high enough above the pubis, to avoid all danger of the cunuhi slipping out before adhesion had set in round the sides of the wound. A large quantity of urino was drawn off with complete relief to his most urgent symptoms. After 30 hours, a catheter was substituted for the eanula. In eight days, urine began to come by the urethra ; and in another couple of days, the urethra seeming clear all through, the catheter was removed, and the wound in the abdo-