the left kidney, dividing
the ureter near the pelvis, and finally lodged in the psoas muscle.

It occasionally happens that the ureter is wounded in the removal of
uterine, ovarian, or other abdominal tumors. In such event, if it is
impossible to transplant to the bladder, the divided or torn end should
be brought to the surface of the loin or vagina, and sutured there. In
cases of malignant growth, the ureter has been purposely divided and
transplanted into the bladder. Penrose, assisted by Baldy, has
performed this operation after excision of an inch of the left ureter
for carcinomatous involvement. The distal end of the ureter was
ligated, and the proximal end implanted in the bladder according to Van
Hook's method, which consists in tying the lowered end of the ureter,
then making a slit into it, and invaginating the upper end into the
lower through this slit. A perfect cure followed. Similar cases have
been reported by Kelly, Krug, and Bache Emmet. Reed reports a most
interesting series in which he has successfully transplanted ureters
into the rectum.

Ureterovaginal fistulae following total extirpation of the uterus,
opening of pelvic abscesses, or ulcerations from foreign bodies, are
repaired by an operation termed by Bazy of Paris ureterocystoneostomy,
and suggested by him as a substitute for nephrectomy in those cases in
which the renal organs are unaffected. In the repair of such a case
after a vaginal hysterectomy Mayo reports a successful reimplantation
of the ureter into the bladder.

Stricture of the ureter is also a very rare occurrence except as a
result of compression of abdominal or pelvic new growths. Watson has,
however, reported two cases of stricture, in both of which a ureter was
nearly or quite obliterated by a dense mass of connective tissue. In
one case there was a history of the passage of a renal calculus years
previously. In both instances the condition was associated with
pyonephrosis. Watson has collected the reports of four other cases from
medical literature.

A remarkable procedure recently developed by gynecologists,
particularly by Kelly of Baltimore, is catheterization and sounding of
the ureters. McClellan records a case of penetration of the ureter by
the careless use of a catheter.

Injuries of the Bladder.--Rupture of the bladder may result from
violence without any external wound (such as a fall or kick) applied to
the abdomen. Jones reports a fatal case of rupture of t