To the Editor:
In the treatment of urethral stones "the guiding principle should be to pull out, push back or fragment... The method which is simplest, least traumatic and possesses the greatest potentiality of success should be tried first."I recently used an apparently new method which may be better than many others: I flushed the stone back into the bladder by water pressure.
Report of a Case:—
On Feb 18, 1969,I saw a man, because he could not void. The patient had passed urinary stones in the past. "This time," he said, "I have the feeling the stone is stuck here," and he pointed to the perineum.The patient was in pain. The bladder was greatly distended. The perineum was slightly tender, but I could not feel a stone. I did not examine him rectally.There was no reason to doubt the diagnosis.I injected 20 ml of sterile