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In reporting a series of cases of about 200 patients operated on in association with Dr. F. W. Smith in 1923, the symptomatology of seminal vesicle disease was classified into three groups with reference to symptoms. The first group included those cases in which pain is the predominating element with inflammatory changes; the second, those cases in which rheumatic symptoms are present, and the third, those cases in which vague local symptoms are pronounced with an accompanying unexplained neurosis. Three years' further experience bears out the value of this grouping as a working scheme. Operative indications may be similarly epitomized, and these three clear and distinct reasons for surgical intervention and drainage may be given: (1) the evacuation of pus, (2) the relief of pain and (3) the removal of hard, indurated fibrous vesicles productive of systemic, prostatic and bladder symptoms.

GROUP I: PAIN AND INFLAMMATORY CHANGESÌý Infection of the