ing ten cases, of which I subjoin brief notes. The instruments used were; (1) a large fenestrated lithotrite for crushing large and hard calculi ; (2) a flat bladed lithotrite for disposing of fragments and small stones ; (3) evacuating catheters from No. 14 to 18 ; (4) an aspirator constructed on the latest principles by Weiss. In addition to these there were, of course, sounds of sorts, a sca...