VESICAL AND URETHRAL DISORDERS. —Lamarque recommends the use of a 1-per-cent. solution for irrigating the bladder and urethra and a 5-per-cent. solution in chronic gonorrhoea. In hwmaturia and tuberculous cystitis it has also proved of value.
Formol in 1-per-cent. solution used for washing out the bladder and urethra, and in 5-per-cent. solution for instilla tion in these localities. It is particu larly in eases of tuberculous cystitis that the treatment has been successful. The only disadvantage is the pain caused by the drug; this, however, though intense at first, quickly ceases. Daily washings with formal solution have been effectual in stopping turia-, relieving pain, and lessening the frequency of micturition in cases where every other treatment had failed. In gonorrhoea the results were not satisfac tory. Lamarque (Le Mercredi Med., Sept. 11, '95).
Ammonio-formaldehyde seems to be almost a specific in some cases of un complicated acute catarrhal pyelitis. To
prove effective it may have to be admin istered in large doses until the urine is practically free from bacteria, after which a smaller dose may be sufficient. In judging the effects of the drug the centrifuge and the microscope should be employed. The dose must not be suffi cient to cause pollakiuria and dysuria by irritation of the neck of the bladder. The possibility of such an irritation can not be overlooked even when small doses are given. Urotropin is extremely serv iceable as a prophylactic of the various forms of urinary septimmia and urethral chill. Its routine employment both be fore and after operations on the urinary passages is indicated. The urine con taining urotropin occasionally has an eseharotic effect upon wounds, which may constitute a contra-indication to its use. E. L. Keyes, Jr. (Phila. Med. Jour., Sept. 29, 1900).