Gram-negative bacteria isolated from urinary tract infections possess filamentous appendages called fimbriae (3)(4)(5)12). Fimbriae that cause mannose-resistant (MR) hemagglutination are thought to be responsible for the colonization of the bacteria in the urinary tract. Serratia marcescens had once been thought to be a harmless saprophyte. However recent reports implicate this species as the primary pathogen in numerous infections, although the infections are endemic and hospitalaquired or nosocomial (1,8). The presence of fimbriae on Serratia spp. has also been reported (2, 9). In a previous paper (2) we reported that a strain (US5) of S. marcescens possessing a distinctive type of fimbriae expressing mannose-sensitive (MS) hemagglutination is agglutinated by human urine. This agglutination of bacteria was found to be caused by the interaction of the fimbriae with the mucus present in human urine (6). Since the mucus was thought to be produced by the mucus layer of the urinary tract (13), it can be postulated that S. marcescens having this MS type of fimbriae are able to adhere to the human bladder surface and that consequently the fimbriae act as a colonization factor.The adherence of fimbriated bacteria to the urinary tract has been studied with detached uroepithelial cells excreted into urine which was later voided, or with cultured mammalian cells. These in vitro experiments did not give any conclusive evidence, since the surface of the cells used in these experiments was presumed to be different from the surface of the human urinary tract, especially in the presence of the mucus. To obtain more reliable data on the adherence of S. marcescens to the human urinary tract, in this experiment we utilized human urinary bladder tissues which were removed during operations on patients with urinary anomalies or cancer, and the adherence was quantitatively examined with the scanning electron microscope.S. marcescens strain US5 was used as a fimbriated and strain US9 as a nonfimbriated strain. The characteristics of the fimbriae of US5 have been described in a previous paper (2,6,7,10). Strain US9, a clinical isolate, has no fimbrial structure or hemagglutination activity (2). The pieces of human bladder tissue used in this experiment were taken by a surgeon during an operation for bladder cancer 67 7