MR. SPENCE--Case of Enormous Deep-seated Turnout withdrawing all together. I am of opinion that such rapid distension of the passage is not prudent, and I consider it likely to be followed by want of control over the organ for a longer or shorter period. Mr. Syme speaks highly of a combination of dilatation and cutting for obtaining access to the bladder; and in his case produced the former effect by bougies, and the latter by a very slight incision of its neck, by means of a narrow straight

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... toury. He then removed the foreign body with a hook. He acknowledges that dilatation " if carried beyond a certain degree, is apt to produce that suppurative inflammation, which in this situation so surely proves fatal." I agree entirely with this statement, and hold that the hasty enlargement (by which I understand the canal being dilated immediately before the extraction of any foreign substance)is tkr more likely to be followed by a want of power at the neck of the viscus, or by the dangerous inflammation alluded to. The late Sir B.