Reviews and Notices of Books
488 the plan of regular catheterisation, so keeping the urethral orifice open, and possibly moulding it, and agreed that atony of the bladder extends into these cases. But he did not see what effect could arise from the use of thin bougies, except in very early stages, when, perhaps, their use was hardly justifid.—Mr, HARRISON, in reply, said the treatment only applied to cases which threatened obstruction of urine from the commencement. It was not applicable in cases where atony or pouched
... tony or pouched bladder is responsible for the symptoms. Dr. FANCOURT BARNES read notes of a case of Stricture of the Rectum mistaken for Retroflexion of the Uterus. The patient was sixty-five years old, and habitually constipated. When seen the bowels had not acted for twelve days, vomiting had set in, and an enema could not be given, examination showing the rectum to consist of a cul-de-sac. The case was sent to the author as one of retroflexion of the uterus ; but on examination he found the uterus normal, and a firm growth springing from the sacrum, and involving the upper part of the rectum. Colotomy was advised, but refused; and death took place three weeks later. A postmortem examination revealed the presence of a sacral tumour adherent to and compressing the bowel.-Dr. GILBART SMITH had seen a parallel case, where a like mistake had been made; here, however, a pessary had been worn for fifteen years ; the rectal stricture was divided.