Abstract

Dr. Rudolph Matas, 1 at the last meeting of the Association , gave such a complete resume of the subject that it would be simply repetition to now enter into a general discussion of the topic—and in his conclusions favored Maydl's operation, holding that the autoplastic operations could be little more than palliative, and never satisfactory. His paper decided me to report a case and exhibit the patient, showing the result of autoplastic work. I do not know how original the procedure to be described may be, though I have been unable to find a report of such a one. Mr. J. McE., aged 17 years, was referred to me by Dr. J. M. Mathews. on Oct. 26, 1897. He had come to Louisville to obtain a urinal and, if possible, get relief from the miserable condition of complete bladder exstrophy. Fig. 1 shows the condition before operation. He was fairly

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