The case which is the subject of this report is interesting from both a diagnostic and a technical point of view.
—The patient, a woman aged about 30, complains that during the last eight months she has been compelled to urinate frequently, especially on lying down, that each act of urination is rather painful and also that for the last six weeks the bladder has become the seat of spontaneous pains. The attending physician made a diagnosis of cystitis and tried to improve the condition by flushings of the bladder, which proved futile.
—I found, on examination, that the urine was cloudy, owing to the presence of a considerable amount of pus, the quantity of which was estimated to correspond with the quantity of albumin found. Kidney elements were not recognized. The cystoscope examination revealed the fundus and the trigon of the bladder and the ureteral openings to