Congestive Stricture of Urethra; Retention of Urine; Puncture of Bladder

TION OF URINE ; PUNCTURE OF BLADDER. By G. G. MacLaren, m.d., Civil Surgeon. Early oil the morning of the 5th iNovember last, 1 was summoned by the hospital assistant in charge of the head-quarters G. T. Survey office, to a case of retention of urine in the person of a man aged 48, named Bowani Singh, a Classie attached to the office. Being at the time engaged, I was unable to attend immediately, but gave the hospital assistant orders to administer a large opiate and place the patient in a warm hip bath, and on no account to use instruments until I called. I saw the man at 10-30 a.m. and found his bladder enormously distended, percussion denoting its base as high as the umbilicus, and he was of course suffering intense agony. On questioning the hospital assistant the following history was elicited:?Ten days ago, Bowani Singh suffered from retention of urine which was relieved by a warm bath and an opiate, previous to the administration of which, an attempt at passing a catheter had been made unsuccessfully, and which was followed by the escape of a large amount of blood from the urethra. The patient complained of nothing further until the evening of the 4th November, when symptoms of retention again declared themselves, and the hospital assistant again attempted the passage of catheter No. 3. This was unsuccessful, and again a large quantity of blood escaped on withdrawal of the instrument. The patient being still unable to pass water, the hospital assistant