Thomson and Miles in their Manual of Surgery, 1909, p. 713, state that " little is known of the rate of growth of vesical stone " and that " Guyon believes that a uric acid stone takes several years to attain a diameter of two inches." The following case, as throwing a little light on this point, may be of interest. R., a patient from Farah, Afghanistan, was operated on for vesical calculus by ...

To the Editor of "The Indian Medical Gazette." Sir,?Lieut.-Colonel Vivian B. Bennett, in his important article 011 the treatment of vesical calculus which appeared in last November's issue of this Gazette, wrote : " In the Indian Medical Gazette of last June, Keegan has written a paper objecting strongly to the Suprapubic Operation." If Liieut.-Colonel Bennett will peruse my paper he will find ...

H. G., a Muslim, aged 40, was admitted to the Uivil Hospital, Parachinar, on the afternoon of 14th December, 1932, complaining of retention of urine. The history was that for some months previously he had had some frequency of micturition with pain at the point of the penis on conclusion of the act; that latterly there had been some involuntary dribbling of urine; and that twenty-four hours bef...

By B. N. KHANNA House Surgeon, State Hospital, Junagad A Hindu male, aged 43 years, was admitted into this hospital on 14th March, 1933, with symptoms of stone in the bladder. The bladder was sounded, and it was found that the stone was too big for litholapaxy. The alternative method of suprapubic lithotomy was suggested to the patient, but he refused operation and was discharged on the 20th Ma...

A middle aged labourer was admitted into hospital for prolapse of the rectum about 4 inches in length, with discharge of mucus, tenesmus and incontinence of urine for the past li years. His main complaint was the continuous dribbling of urine. A tentative diagnosis of chronic bacillary dysentery, which had caused the rectal prolapse, and a reflex irritation of the bladder causing incontinence w...