in an attempt to medicate the neck of the bladder. The further progress of the case toward complete recovery was uneventful. It is interesting inasmuch as it illustrates the peculiar action of the 'bladder and deep urethra to draw into the former foreign bodies placed in the latter, like the soft catheter case I reported to this society in 1896, but far more so, inasmuch as this wire was of so small a size, furnishing but little surface upon which the muscles could act.

Case II. J. B., aet. 39, American, married, had been heavy drinker (brandy) for several years, but during the year previous to presenting himself for operation had been a total abstainer. No history of renal colic, but had suffered a great deal with dull pain in right side. Examination revealed a large fluctuating tumor in region of right kidney. Urine full of pus but no attempt was made to determine condition of other kidney. Operation by curved lumbar incision. On reaching the kidney it was found to be one huge abscess. Incision into the cortex evacuated

over a pint of pus, and in upper calices and pelvis were found a calculus which was broken into three parts in removing it, as well as afterward found to be connected with two other pieces in two of the lower calices, but which I overlooked at the time of this operation. The wound was drained and patient felt greatly relieved of pain and the symptoms consequent upon the absorption of pus. The sinus closed rapidly, and during my

absence from the city urgent symptoms necessitated Dr. Lyman's opening up the wound, when he found the two other fragments of stone in the lower calices above referred to. After that the patient gained rapidly and has been able to attend to the duties of his occupation for the past three years. The sinus remained open and has continued to discharge considerable pus for some time, but when patient was last heard from he suffered no pain and was only bothered with the disagreeable inconvenience of the sinus. The calculus weighed altogether 245 grains.

Case III. J. F. B., aet. 11 years, American, schoolboy; has had most of the diseases of childhood, and typhoid fever one year ago. On March 12, 6 p. m., was thrown from horse upon slippery asphalt pavement, striking his chin. Examination revealed a lacerated wound of soft parts over chin. Both upper central incisors were gone and there was a fracture of the inferior maxilla in median line, although but little displacement or deformity. After cleansing and attending to the external wound the question arose as to the advisability of replanting the teeth. A boy friend had found one of them and kindly brought it to the house, but no one knew where the other one was unless it was at the place of accident. Having but the one tooth and feeling it next to impossible to find the other, together with a confessed doubt as to the practicality and feasibility of meeting with any success, which was due to my inexperience in such matters, I gave the opinion that it was practically out of the question to try it. However, as it could do no harm, I sent for Dr. Harry Hoffman, dentist, to consult as to the feasibility of replanting the teeth, and to him is due in reality the success of the case. Giving as he did the opinion that it was well worth trying, we started all hands available in search of the lost tooth, while we were engaged preparing the other by removing the nerve and filling the pulp and root canal with gutta percha. Fortune seemed to favor, and just as the first tooth was finished the coachman arrived at the laboratory with the missing incisor, which had been found on the pavement some distance from the place of accident. It was similarly prepared, and with complete chloroform anasthesia Dr. Hoffman replanted the two teeth just six hours after the accident. They were retained by silk ligatures

to the lateral incisors, and the usual antiseptic mouth washes and liquid diet ordered. There was very little reactionary inflammation and as soon as the ligatures began to cause irritation a gold band was made to clasp the four incisors together. The replanted teeth within three weeks became as firm as the others, and as the clasp was not especially inconvenient it was worn until the last of May, when the drill holes made to extract the pulp and which were temporarily filled with cement were filled with gold. To-day it would be impossible, further than these tiny gold fillings, to discover that the teeth had ever had anything the matter with them, much less been out for six hours.

This case is well worth recording, because I believe there are many surgeons who, like myself, know that the replanting of teeth is a possibility, but through a similar lack of experience do not appreciate the possibilities in this line of work. In this case it was of great importance to the patient owing to his age and the effect upon the development of his superior maxilla, which would not be the case in an adult.

Case IV. M. F., aet. 45, Hollander, laborer, single, family and personal history negative other than he had gonorrhea a year and a half prior to admission to the Arapahoe County Hospital (April 24, 1901). On Sunday, April 18, he had a painful erection of the penis, which did not subside after sexual indulgence. He consulted a physician, who administered bromides and hyoscin in large doses without effect, and finally resorted to multiple puncture of the organ with equal failure.

On admission he was assigned to the service of Dr. S. D. Hopkins, who repeated the bromides in the form of sodium bromide and camphor mono-bromate, giving in all 360 grains of the former and 91 grains of the latter, and 14/100 of a grain of hyoscin, and 3/4 of a grain of morphia sulphat with absolutely no effect upon the priapism, which had been continuous from April 18 to the 25th, when he was transferred to the genitourinary service, Dr. Hopkins feeling that the cause must be local and not of spinal or leukæmic origin.

Patient was chloroformed, which failed to reduce the priapism, thus further eliminating the possibility of spinal irritation. An acorn bougie was passed, revealing an anular stricture near

the middle of the pendulous portion of the urethra of 18 French caliber. The dorsal vein was then freely opened, without effect. The incision was then carried deeper into the corpora cavernosa, and at least two ounces of disorganised blood the consistency and appearance of pine tar was expressed, relieving the priapism. The healing of the operation wound and rapid recovery of the patient was uneventful.

The exact etiology of this case I feel it is impossible to conclude, but the most probable and, I think, the most plausible is that from an irritable stricture the erection of the organ was maintained sufficiently long to allow disorganization of the blood in the corpora.

Case V. H. O., musician, aet. 40, single, family history good, mother and father living, in fair health. Contracted syphilis twelve years ago. Had treatment for short time, altogether perhaps three months. Since youth has led more or less a dissipated life. Six years ago he had a copper-colored skin