Excerpt from The New York Medical Journal, Vol. 69: A Weekly Review of Medicine; January to June, 1899, Inclusive As the subject matter of this paper is presented, it will be seen that general anaesthesia is rarely necessary - only once so far in the writer's experience, and that was at a time when he was still unfamiliar with the method - and that extensive dilatation of the urethra is never called for. During the three years that I have been employing Kelly's method I have made use of the cystoscope fully five hundred times in over one hundred different wom en and I can positively assert that in not a single instance was any appreciable harm done to the urethra. The size of the cystoscope used in the vast majority of cases was that known as No. 10. Very rarely was No. 12 necessary, and No. 8 frequently served the purpose. I have never observed incontinence, even of a temporary duration, follow the introduction of the No. 12 cysto scope, and, as I have already stated, I have never had occasion to use a larger sized instrument. Even for the catheterism of the ureters I seldom use a larger cysto sco'pe than the N o. 10, and in the numerous times that I have carried out the procedure I have not thus far had to use general anaesthesia once. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.