Recently I have observed an elderly man whose symptoms of difficult urination and retention of urine were due to the spinal cord changes in early pernicious anemia rather than to obstruction from the prostate gland. As pernicious anemia is rarely discussed from an urologic angle, it seems pertinent to stress this phase of my case and to add the cystoscopic findings to the extremely scanty literature on the subject.
REPORT OF CASE
—G. S., a man, aged 57, presented himself to his local physician, complaining of frequent and difficult urination. A hurried examination was made, the prostate assumed to be the source of the trouble, and the patient was referred for operation, April 12, 1923. He gave a history of difficult urination with onset two years previously. Before that time, however, he had noticed some difficulty after holding the urine for a long period of time. For two years