Calculus on Foreign Body in Bladder; Perforation of Bladder. No Symptoms

special note until 7th February, 1883, when he had an epileptic fit, the first he had ever had; and from this date he continued to have them at short intervals. On October 10th, 1883, I was called to see him about 10 a.m., and found him in bed, with a stream of blood issuing from the mouth of the urethra. The Medical Superintendent, Dr. Thompson, and I carefully examined him, when a bruise, 2 inches in length and 1 in breadth, was discovered on the right side of the perineum. Catheterism was tried, but failed; and he was seen at 2 p.m. by Mr. Greig Smith. Attempts to pass a catheter proving unsuccessful, and the bladder having become distended, Mr. Greig Smith performed perineal section. On making the necessary incision, the urethra was found to be completely severed, lying in a mass of blood-clot, and the neighbouring parts very much bruised. The central end of the urethra was found