When Pseudomonas aeruginosa was injected through a catheter into the bladder, hemorrhage, edema, and vessel engorgement were seen 1 h after challenge. At 3 hours we observed microulceration of the bladder, which rapidly healed and was rarely present after 24 h. Pseudomonas was cultured from 50% of the kidneys at 1 week, and the number of kidneys infected decreased over 4 weeks.Pseudomonas aeruginosa urinary tract infections have been a frequent problem in nosocomial infections. Bacteremia may occur with lower urinary tract manipulation, and ascending urinary tract infection may result in pyelonephritis and renal damage.Experimental studies of the urinary tract have dealt mainly with the kidney infections associated with pseudomonas infection (4, 6, 7, 13). There have been few clinical or experimental studies of pseudomonas infection in the lower urinary tract. We have injected pseudomonas into the bladder through a urethral catheter, and we have observed the natural history of the bladder and renal infection using this technique. P. aeruginosa strain T2 (obtained from M. Fisher) was used. Swiss Webster female mice, weighing approximately 20 g, were anesthetized with ether, and 0.025 ml of pseudomonas, a washed overnight culture (adjusted to 2 x 108/ ml) was injected into the bladder through a urethral catheter (polyethylene tubing with an outside diameter of 0.061 cm, Clay Adams, New Jersey). Residual urine in the bladder was aspirated before the infection. Control mice were injected with phosphate-buffered saline.Mice were killed at intervals after the infection. At the time of sacrifice, the bacterial content of the kidney and the bladder was determined quantitatively. Any urine in the bladder was aspirated with a needle and syringe. The kidneys and bladder were removed aseptically and homogenized in broth. Serial dilutions were made in broth, and samples were plated in molten brain heart infusion (BHI) agar. Midcoronal sections of kidneys were placed in glutaralde-hyde fixative for histology. The bladder was also sectioned for histology. At the time of sacrifice, blood was obtained from the heart and inoculated into BHI broth. Table 1 shows the results of a study in which 5 x 106 pseudomonas cells were injected through a urethral catheter and the animals were killed at intervals up to 4 weeks after the injection. The maximum number of bacteria was seen in the bladder at 24 h and in the kidneys at 3 days. No mice died. The histological changes in the bladder are shown graphically in Fig. 1. The most marked changes in the bladder were seen at 4 h, the earliest time the bladder was examined in this experiment. Polymorphonuclear leukocyte (PMN) infiltration and edema of the submucosa was prominent, and focal ulceration of the mucosa and hemorrhage were seen in almost all the bladders (Fig. 2). In some ulcers, bacteria could be seen on the surface of the ulcer. Over 3 days, hemorrhage, ulceration, and edema rapidly decreased. The PMN infiltration of the bladder was maximal at 4 h and continued up to 1 week in some ...