HYPOGASTRIC PUNCTURE OF THE BLADDER.
Dr. Deneffe (Journal de Médecine de Paris) says that too serious a view is taken of hypogastric puncture of the bladder in cases of retention. It ought not to be considered as dangerous, and as a last resource. He quotes a case of hypertrophied prostate which prevented micturition and catheterism, in which the patient was punctured seventeen times without suffering any inconvenience. The seventeenth time, the trocar was allowed to remain, and ten days afterward micturition took place spontaneously through the urethra. Nevertheless, the trocar was allowed to remain twenty-nine days, when it was removed. The fistula was closed in four days, and the patient recovered permanently.Hypogastric puncture is considered a mild operation by Dr. Deneffe, and he states that he has performed the operation on three hundred and one patients, with a mortality of only two and a half per cent. A patient