(Normal) Cystoscopy, b/l retrograde pyelogram: Male
PLEASE NOTE THESE ARE EXAMPLES, READ THROUGH THE ENTIRE OP REPORT TO ENSURE YOUR OP REPORT IS ACCURATE ACCORDING TO WHAT YOU ACTUALLY DId
OPERATIVE DETAIL: The patient was transferred to the cystoscopy suite and placed on continuous pulse oximetry and cardiac monitoring by anesthesia. IV antibiotics including 1g ampicillin and 240mg gentamycin were administered. IV sedation and general anesthetic were administered. The patient was placed in the dorsal lithotomy position and prepped and draped in sterile fashion. Time out was performed confirming patient, procedure, side, all in the room agreed. SCDs were on and functioning. A well lubricated 22 french cystoscopic sheath with a 30 degree lens was inserted into the urethral meatus and advance and advanced into the bladder. Care was taken to keep the urethra lumen in center of view to minimize trauma to the urethra. In the urethra there were no urethral strictures, no mucosal lesions, no tumors, no polyps. The prostate was mildly enlarged and non-obstructive. Upon entering the bladder, the bladder was drained. Urine was not sent for culture. The bladder was then partially filled and evaluated in a panendoscopic fashion using the 30 degree lens , then 70 degree lens There were nomucosal lesions, no trabeculations, no diverticulum, no stones and no tumors.
OPERATIVE DETAIL: The patient was transferred to the cystoscopy suite and placed on continuous pulse oximetry and cardiac monitoring by anesthesia. IV antibiotics including 1g ampicillin and 240mg gentamycin were administered. IV sedation and general anesthetic were administered. The patient was placed in the dorsal lithotomy position and prepped and draped in sterile fashion. Time out was performed confirming patient, procedure, side, all in the room agreed. SCDs were on and functioning. A well lubricated 22 french cystoscopic sheath with a 30 degree lens was inserted into the urethral meatus and advance and advanced into the bladder. Care was taken to keep the urethra lumen in center of view to minimize trauma to the urethra. In the urethra there were no urethral strictures, no mucosal lesions, no tumors, no polyps. Upon entering the bladder, the bladder was drained. Urine was not sent for culture. The bladder was then partially filled and evaluated in a panendoscopic fashion using the 30 degree lens , then 70 degree lens There were nomucosal lesions, no trabeculations, no diverticulum, no stones and no tumors.
. Upon entering the bladder, the bladder was drained. Urine was not sent for culture. The bladder was then partially filled and evaluated in a panendoscopic fashion using the 30 degree lens The ureteral stent on the left was grasped with the flexible wire grasper and brought out of the bladder and urethral meatus. A sensor wire was used to canulate the ureteral stent and advanced up into the renal pelvis on the left, this was confirmed by fluoroscopy.not
Upon entering the bladder, the bladder was drained. Urine was not sent for culture. The bladder was then partially filled and evaluated in a panendoscopic fashion using the 30 degree lens The ureteral stent on the left was grasped with the flexible wire grasper and brought out of the bladder and urethral meatus. A sensor wire was used to canulate the ureteral stent and advanced up into the renal pelvis on the left, this was confirmed by fluoroscopy. A 24 cm 6 fr ureteral stent was advanced over the sensor wire up to the renal pelvis, then the wire was slightly withdrawn to reveal a curve in the renal pelvis. The scope was withdrawn to the bladder neck and stent was advanced until the tip of the orange pusher was visible and the sensor wire was withdrawn. There was a curl in the proximal pelvis, confirmed by fluoroscopy and a curl in the distal end in the bladder, confirmed by direct visualization
SURGEON: Dr. _
ASSISTANT: Dr. _
PREOPERATIVE DIAGNOSIS: Hematuria
POSTOPERATIVE DIAGNOSIS: Hematuria
PROCEDURE: Cystourethroscopy, bilateral retrograde pyelograms
FINDINGS: Unremarkable bladder, urethra, prostate and bilateral collecting system
ANESTHESIA: General with LMA
INTRAVENOUS FLUIDS: IV crystalloid
ESTIMATED BLOOD LOSS: None
TUBES AND DRAINS: None
SPECIMENS: None
COMPLICATIONS: None
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