There is usually more or less hemorrhage from the tumor, which may rarely be so profuse as to cause marked anemia. The general health suffers, and nervous symptoms, resulting from the pain and loss of sleep, are often present to a pronounced degree.

Treatment.—The treatment consists in the total extirpation of the growth. It should be picked up with forceps and excised with the knife or scissors. The edges of the mucous membrane should be united by sutures.

Excision should be complete or the tumor may return. In case of recurrence a second operation should be performed.

Urethral Cysts.—Small cysts are occasionally found in the course of the urethra. They may occur at any point from the internal to the external meatus. They are caused by obstruction and distention of the urethral glands. They produce no symptoms unless large enough to cause obstruction to the flow of urine. They may be seen by the endoscope or may be palpated through the vaginal wall.

The treatment consists of incision and removal of part of the cyst-wall.

Polypus.—Mucous polyp of the urethra is of very rare occurrence. The tumor generally has a delicate pedicle, and may protrude from the meatus. It is painless, and causes discomfort only by obstructing the flow of urine.

The treatment consists of removal by torsion, ligature, or excision.

Sarcoma and cancer of the urethra have rarely been observed. The phenomena are those similar to cancer in other parts of the body.

The treatment consists in thorough removal.

DISEASES OF THE BLADDER.