Prolapse of the Female Urethra

" Before this, patient had hardly ever known a day's illness. She is mother of a family of six, all of whom are alive and well. "Patient is a stout, healthy-looking female. Mammae and abdomen show marked signs of multiparity, and abdominal palpation is negative. On inspection of pudenda a red vascular tumour, with smooth unbroken surface, is seen surrounding the urethral orifice. When manipulated it is not at all tender. Further examination reveals the ordinary senile changes, and that the body of the uterus is lying to the front, freely movable, and not at all enlarged. "November 24,1892.?Patient anaesthetised, and prolapsed mucosa of urethra was removed by cautery. Patient rapidly recovered, and was dismissed on 1st December, the part being well healed, and the cicatrix having puckered well in."