Medical Specialty: Urology

The branch of medicine that deals with the diagnosis and treatment of disorders of the urinary tract or urogenital system.

Adrenalectomy & Umbilical Hernia Repair
Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal.
Bilateral Vasovasostomy
Bilateral vasovasostomy surgery sample.
BioArc Midurethral Sling
Cystoscopy, cystocele repair, BioArc midurethral sling.
Bladder Biopsies & Fulguration
Cystoscopy, bladder biopsies, and fulguration. Bladder lesions with history of previous transitional cell bladder carcinoma, pathology pending.
Bladder Cancer
Patient with a history of gross hematuria. CT scan was performed, which demonstrated no hydronephrosis or upper tract process; however, there was significant thickening of the left and posterior bladder wall.
Bladder Instillation
Bladder instillation for chronic interstitial cystitis.
Bladder Laceration Closure
Closure of bladder laceration, during cesarean section.
Bladder Tumor
Recurrent bladder tumor. The patient on recent followup cystoscopy for transitional cell carcinomas of the bladder neck was found to have a 5-cm area of papillomatosis just above the left ureteric orifice.
Blood in Urine - ER Visit
Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria.
Brachytherapy, iodine-125 seed implantation, and cystoscopy.
Cavernosaphenous Shunt - Priapism
Refractory priapism. Cavernosaphenous shunt. The patient presented with priapism x48 hours on this visit. The patient underwent corporal aspiration and Winter's shunt both of which failed
The patient had spraying of urine and ballooning of the foreskin with voiding.
Circumcision - 1
Circumcision in an older person
Circumcision - 2
Circumcision procedure (neotal)
Circumcision - 3
Circumcision procedure in a baby
Circumcision - 4
Normal Circumcision
Circumcision - 5
Release of ventral chordee, circumcision, and repair of partial duplication of urethral meatus.
Circumcision - 6
Circumcision. A dorsal slit was made, and the prepuce was dissected away from the glans penis.
Circumcision - 7
Normal penis. The foreskin was normal in appearance and measured 1.6 cm. There was no bleeding at the circumcision site.
Circumcision - Child
Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents.
Circumcision - Infant
Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure.
Circumcision - Newborn
Newborn circumcision. The penile foreskin was removed using Gomco.
Circumcision & Chordee Release
Circumcision and release of ventral chordee.
Circumcision Followup
Followup circumcision. The patient had a pretty significant phimosis and his operative course was smooth. Satisfactory course after circumcision for severe phimosis with no perioperative complications.
Consult - Prostate Cancer
Consult for prostate cancer
Cryosurgical Ablation of Prostate
Cystoscopy, cryosurgical ablation of the prostate.
Cysto Stent Removal
Right lower pole renal stone and possibly infected stent. Cysto stent removal.
Holmium laser cystolithalopaxy. A diabetic male in urinary retention with apparent neurogenic bladder and intermittent self-catheterization, recent urinary tract infections. The cystoscopy showed a large bladder calculus, short but obstructing prostate.
Exploratory laparotomy, resection of small bowel lesion, biopsy of small bowel mesentery, bilateral extended pelvic and iliac lymphadenectomy (including preaortic and precaval, bilateral common iliac, presacral, bilateral external iliac lymph nodes), salvage radical cystoprostatectomy (very difficult due to previous chemotherapy and radiation therapy), and continent urinary diversion with an Indiana pouch.
Cystopyelogram, left ureteroscopy, laser lithotripsy, stone basket extraction, stent exchange with a string attached.
Cystopyelogram - 1
Cystopyelogram, clot evacuation, transurethral resection of the bladder tumor x2 on the dome and on the left wall of the bladder.
Cystoscopy under anesthesia, bilateral HIT/STING with Deflux under general anesthetic.
Cystoscopy & Bladder Biopsy
Cystoscopy and Bladder biopsy with fulguration. History of bladder tumor with abnormal cytology and areas of erythema.
Cystoscopy & TURP
Cystoscopy. Transurethral resection of the prostate.
Cystoscopy & Visual Urethrotomy
Cystoscopy & Visual urethrotomy procedure
Cystoscopy, Ureteropyelogram, & Ureteral Barbotage
Right hydronephrosis, right flank pain, atypical/dysplastic urine cytology, extrarenal pelvis on the right, no evidence of obstruction or ureteral/bladder lesions. Cystoscopy, bilateral retrograde ureteropyelograms, right ureteral barbotage for urine cytology, and right ureterorenoscopy.
Cystourethroscopy & Retrograde Pyelogram
Cystourethroscopy, bilateral retrograde pyelogram, and transurethral resection of bladder tumor of 1.5 cm in size. Recurrent bladder tumor and history of bladder carcinoma.
Cystourethroscopy & Retrograde Pyelogram - 1
Cystourethroscopy, right retrograde pyelogram, right ureteral pyeloscopy, right renal biopsy, and right double-J 4.5 x 26 mm ureteral stent placement. Right renal mass and ureteropelvic junction obstruction and hematuria.
Cystourethroscopy & TURP
Benign prostatic hypertrophy and urinary retention. Cystourethroscopy and transurethral resection of prostate (TURP).
Cystourethroscopy & TURP - 1
Cystourethroscopy and tTransurethral resection of prostate (TURP). Urinary retention and benign prostate hypertrophy. This is a 62-year-old male with a history of urinary retention and progressive obstructive voiding symptoms and enlarged prostate 60 g on ultrasound, office cystoscopy confirmed this.
Cystourethroscopy & Urethral Dilation
Cystourethroscopy, urethral dilation, and bladder biopsy and fulguration. Urinary hesitancy and weak stream, urethral narrowing, mild posterior wall erythema.
Discharge Summary - Urology
Discharge Summary of a patient with hematuria, benign prostatic hyperplasia, complex renal cyst versus renal cell carcinoma, and osteoarthritis.
Discharge Summary - Urology & Nephrology
Solitary left kidney with obstruction and hypertension and chronic renal insufficiency, plus a Pseudomonas urinary tract infection.
E. Coli UTI - Followup
Recurrent urinary tract infection in a patient recently noted for another Escherichia coli urinary tract infection.
Electrofulguration - Bladder Tumor
Cystoscopy, TUR, and electrofulguration of recurrent bladder tumors.
Elevated PSA - Chart Note
Elevated PSA with nocturia and occasional daytime frequency.
Elevated PSA - H&P
Abnormal serum PSA of 16 ng/ml, dribbling urine, inability to empty bladder, nocturia, urinary hesitancy and slow urine stream.
Erectile Dysfunction - Followup
Some improvement of erectile dysfunction, on low dose of Cialis, with no side effects.
Excretory Urogram - IVP
Common Excretory Urogram - IVP template
Flank Pain - Consult
Left flank pain and unable to urinate.
Flank Pain - Consult - 1
Left flank pain, ureteral stone.
Flexible Cystoscopy - Atrophic Vaginitis
Recurring bladder infections with frequency and urge incontinence, not helped with Detrol LA. Normal cystoscopy with atrophic vaginitis.
Flexible Cystoscopy - BPH
Microscopic hematuria with lateral lobe obstruction, mild.
Foreign Object Removal - Urethra
Cystoscopy and removal of foreign objects from the urethra.
Foreskin - Followup
Follow up consultation, second opinion, foreskin.
Foul-Smelling Urine
Foul-smelling urine and stomach pain after meals.
Hematuria - Consult
Patient presents with gross hematuria that started this morning.
Hematuria - ER Visit
Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.
Hematuria & Urinary Retention
The patient had hematuria, and unable to void. The patient had a Foley catheter, which was not in the urethra, possibly inflated in the prostatic urethra, which was removed.
HPV Consult
Likely molluscum contagiosum (genital warts) caused by HPV. It is not clear where this came from but it is most likely sexually transmitted.
Hydrocele Repair
Inguinal hernia hydrocele repair.
Bilateral scrotal hydrocelectomies, large for both, and 0.5% Marcaine wound instillation, 30 mL given.
Hydrocelectomy - 1
Left hydrocelectomy, cystopyelogram, bladder biopsy, and fulguration for hemostasis.
Left hydrocelectomy. This is a 67-year-old male with pain, left scrotum. He has had an elevated PSA and also has erectile dysfunction. He comes in now for a left hydrocelectomy. Physical exam confirmed obvious hydrocele, left scrotum.
Hypospadias Repair
Hypospadias repair. Urethroplasty plate incision with tissue flap relocation and chordee release.
Hypospadias Repair & Chordee Release
Hypospadias repair (TIT and tissue flap relocation) and Nesbit tuck chordee release.
Hypospadias Repair & Chordee Release - 1
Hypospadias repair (TIP) with tissue flap relocation and chordee release (Nesbit tuck).
Hysterectomy, BSO, & Appendectomy.
Pelvic tumor, cystocele, rectocele, and uterine fibroid. Total abdominal hysterectomy, bilateral salpingooophorectomy, repair of bladder laceration, appendectomy, Marshall-Marchetti-Krantz cystourethropexy, and posterior colpoperineoplasty. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus.
I&D - Penoscrotal Abscess
Incision and drainage of the penoscrotal abscess, packing, penile biopsy, cystoscopy, and urethral dilation.
Inguinal Exploration
Right inguinal exploration, left inguinal hernia repair, bilateral hydrocele repair, and excision of right appendix testis.
Inguinal Hernia & Hydrocele Repair
Left communicating hydrocele. Left inguinal hernia and hydrocele repair. The patient is a 5-year-old young man with fluid collection in the tunica vaginalis and peritesticular space on the left side consistent with a communicating hydrocele.
Inguinal Hernia Repair
Bilateral inguinal hernia and bilateral hydrocele repair with an ilioinguinal nerve block bilaterally.
Inguinal Hernia Repair - 1
A 9-year-old boy with a history of intermittent swelling of the right inguinal area consistent with a right inguinal hernia, taken to the operating room for inguinal hernia repair.
Inguinal Hernia Repair - 2
Left direct and indirect inguinal hernia. Repair of left inguinal hernia with Prolene mesh. The patient was found to have a left inguinal hernia increasing over the past several months. The patient has a history of multiple abdominal surgeries and opted for an open left inguinal hernial repair with Prolene mesh.
Inguinal Hernia Repair - 3
Bilateral inguinal hernia. Bilateral direct inguinal hernia repair utilizing PHS system and placement of On-Q pain pump.
Inguinal Hernia Repair - 4
Right inguinal hernia. Right direct inguinal hernia repair with PHS mesh system. The Right groin and abdomen were prepped and draped in the standard sterile surgical fashion. An incision was made approximately 1 fingerbreadth above the pubic tubercle and in a skin crease.
Inguinal Hernia Repair - 5
Direct right inguinal hernia. Marlex repair of right inguinal hernia.
Inguinal Hernia Repair - 6
Right inguinal hernia. Right inguinal hernia repair. The patient is a 4-year-old boy with a right inguinal bulge, which comes and goes with Valsalva standing and some increased physical activity.
Inguinal Hernia Repair - Indirect
Repair of left inguinal hernia indirect. The patient states that she noticed there this bulge and pain for approximately six days prior to arrival. Upon examination in the office, the patient was found to have a left inguinal hernia consistent with tear, which was scheduled as an outpatient surgery.
Inguinal Herniorrhaphy
Inguinal herniorrhaphy. A standard inguinal incision was made and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery.
Inguinal Herniorrhaphy - 1
Direct inguinal hernia. Rutkow direct inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery.
Inguinal Herniorrhaphy - 2
Bassini inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery.
Inguinal Herniorrhaphy - 3
Left inguinal herniorrhaphy, modified Bassini. Left inguinal hernia, direct.
Inguinal Herniorrhaphy & Circumcision
Laparoscopic right inguinal herniorrhaphy with mesh, as well as a circumcision. Recurrent right inguinal hernia, as well as phimosis.
Inguinal orchiopexy
Inguinal orchiopexy procedure.
Laparoscopic Orchiopexy
Examination under anesthesia and laparoscopic right orchiopexy.
Laparoscopic Pyeloplasty
Laparoscopic lysis of adhesions, attempted laparoscopic pyeloplasty, and open laparoscopic pyeloplasty. Right ureteropelvic junction obstruction, severe intraabdominal adhesions, and retroperitoneal fibrosis.
Laser Vaporization of Prostate
Cystopyelogram and laser vaporization of the prostate.
Left Orchiectomy & Right Orchidopexy
Left orchiectomy, scrotal exploration, right orchidopexy.
Meatoplasty Template
An example/template for meatoplasty.
Meatotomy Template
An example/template for meatotomy.
Microhematuria - Consult
A 6-mm left intrarenal stone, nonobstructing, by ultrasound and IVP.
Mini Laparotomy & Radical Retropubic Prostatectomy
Mini-laparotomy radical retropubic prostatectomy with bilateral pelvic lymph node dissection with Cavermap. Adenocarcinoma of the prostate.
Neurogenic Bladder - Consult
Neurogenic bladder, in a patient catheterizing himself 3 times a day, changing his catheter 3 times a week
Stage I and II neuromodulator.
Bilateral scrotal orchiectomy
Orchiectomy & Testis Fixation
Examination under anesthesia, diagnostic laparoscopy, right orchiectomy, and left testis fixation.
Left orchiopexy. Ectopic left testis. The patient did have an MRI, which confirmed ectopic testis located near the pubic tubercle.
Orchiopexy - Bilateral
Bilateral orchiopexy. This 8-year-old boy has been found to have a left inguinally situated undescended testes. Ultrasound showed metastasis to be high in the left inguinal canal. The right testis is located in the right inguinal canal on ultrasound and apparently ultrasound could not be displaced into the right hemiscrotum.
Orchiopexy & Hernia Repair
Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain.
Orchiopexy & Hernia Repair - 1
Right orchiopexy and right inguinal hernia repair.
Orchiopexy & Herniorrhaphy
Orchiopexy & inguinal herniorrhaphy.
Orchiopexy & Herniorrhaphy - 1
Right undescended testicle. Orchiopexy & Herniorrhaphy.
Overactive Bladder
Overactive bladder with microscopic hematuria.
Reduction of paraphimosis.
Pathology - Prostate
Prostate adenocarcinoma and erectile dysfunction - Pathology report.
Pediatric Urology Letter
He continues to have abdominal pain, and he had a diuretic renal scan, which indicates no evidence of obstruction and good differential function bilaterally.
Penile Cellulitis
The patient is a 16-month-old boy, who had a circumcision performed approximately 4 days before he developed penile swelling and fever and discharge.
Penile Discharge
Penile discharge, infected-looking glans. A 67-year-old male with multiple comorbidities with penile discharge and pale-appearing glans. It seems that the patient has had multiple catheterizations recently and has history of peripheral vascular disease.
Penile Injury
Penile injury and continuous bleeding from a penile laceration.
Penile Mass - Emergency Visit
Patient presents to the Emergency Department with complaint of a bleeding bump on his penis.
Penile Prosthesis Replacement
Ex-plantation of inflatable penile prosthesis and then placement of second inflatable penile prosthesis AMS700. Nonfunctioning inflatable penile prosthesis and Peyronie's disease.
Penile Skin Bridges Excision
Excision of penile skin bridges about 2 cm in size.
Prostate Adenocarcinoma
Adenocarcinoma of the prostate. The patient underwent a transrectal ultrasound and biopsy and was found to have a Gleason 3+4 for a score of 7, 20% of the tissue removed from the left base.
Prostate Adenocarcinoma - 1
Complete urinary obstruction, underwent a transurethral resection of the prostate - adenocarcinoma of the prostate.
Prostate Adenocarcinoma - 2
Moderate to poorly differentiated adenocarcinoma in the right lobe and poorly differentiated tubular adenocarcinoma in the left lobe of prostate.
Prostate Adenocarcinoma - 3
Moderately differentiated adenocarcinoma, 1+ enlarged prostate with normal seminal vesicles.
Prostate Adenocarcinoma - 4
Prostate gland showing moderately differentiated infiltrating adenocarcinoma - Excised prostate including capsule, pelvic lymph nodes, seminal vesicles, and small portion of bladder neck.
Prostate Adenocarcinoma - H&P
Adenocarcinoma of the prostate, Erectile dysfunction - History & Physical
Prostate Brachytherapy
Prostate Brachytherapy - Prostate I-125 Implantation
Prostate Fossa Irradiation - Followup
The patient returns for followup evaluation 21 months after undergoing prostate fossa irradiation for recurrent Gleason 8 adenocarcinoma. Concerning slow ongoing rise in PSA.
Open radical retropubic prostatectomy with bilateral lymph node dissection.
Prostatectomy - Nerve Sparing
Radical retropubic nerve-sparing prostatectomy without lymph node dissection.
Prostatectomy - Radical Retropubic
Radical retropubic prostatectomy with pelvic lymph node dissection due to prostate cancer.
Prostatectomy - Robotic Radical Retropubic
Radical retropubic prostatectomy, robotic assisted and bladder suspension. Adenocarcinoma of the prostate.
Prostatitis - Recheck
A 65-year-old man with chronic prostatitis returns for recheck.
Pubic Cellulitis
A 16-month-old with history of penile swelling for 4 days, had circumcision 1 week ago.
Pyeloplasty - Robotic
Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.
Cystoscopy under anesthesia, retrograde and antegrade pyeloureteroscopy, left ureteropelvic junction obstruction, difficult and open renal biopsy.
Retrograde Pyelogram & Cystourethroscopy
Cystourethroscopy, right retrograde pyelogram, and right double-J stent placement 22 x 4.5 mm. Right ureteropelvic junction calculus.
Salvage Cystectomy
Salvage cystectomy (very difficult due to postradical prostatectomy and postradiation therapy to the pelvis), Indiana pouch continent cutaneous diversion, and omental pedicle flap to the pelvis.
Scrotal Exploration
Left scrotal exploration with detorsion. Already, de-torsed bilateral testes fixation and bilateral appendix testes cautery.
Sling (SPARC Suburethral)
SPARC suburethral sling due to stress urinary incontinence.
Spermatocelectomy and orchidopexy
Spermatocelectomy, Epididymectomy, & Vasectomy
Left spermatocelectomy/epididymectomy and bilateral partial vasectomy. Left spermatocele and family planning.
Testicular Pain
The patient has a possibly torsion detorsion versus other acute testicular problem.
Testicular Ultrasound
Left testicular swelling for one day. Testicular Ultrasound. Hypervascularity of the left epididymis compatible with left epididymitis. Bilateral hydroceles.
Transurethral Resection Of Bladder Tumor
Transurethral resection of a medium bladder tumor (TURBT), left lateral wall.
Cystoscopy, transurethral resection of medium bladder tumor (4.0 cm in diameter), and direct bladder biopsy.
Transurethral resection of the bladder tumor (TURBT), large.
Transurethral electrosurgical resection of the prostate for benign prostatic hyperplasia.
Ultrasound Scrotum
Ultrasound examination of the scrotum due to scrotal pain. Duplex and color flow imaging as well as real time gray-scale imaging of the scrotum and testicles was performed.
Umbilical Hernia Repair
Umbilical hernia repair template. The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia.
Umbilical Hernia Repair - 1
Umbilical hernia repair. A standard curvilinear umbilical incision was made, and dissection was carried down to the hernia sac using a combination of Metzenbaum scissors and Bovie electrocautery.
Ureteral Calculus - Consult
Right distal ureteral calculus. The patient had hematuria and a CT urogram showing a 1 cm non-obstructing calcification in the right distal ureter. He had a KUB also showing a teardrop shaped calcification apparently in the right lower ureter.
Urinary Frequency & Urgency - Followup
Persistent frequency and urgency, in a patient with a history of neurogenic bladder and history of stroke.
Urinary Retention
This is a 66-year-old male with signs and symptoms of benign prostatic hypertrophy, who has had recurrent urinary retention since his kidney transplant. He passed his fill and pull study and was thought to self-catheterize in the event that he does incur urinary retention again.
Urinary Retention - Followup
The patient noted for improving retention of urine, postop vaginal reconstruction, very concerned of possible vaginal prolapse.
Urology Consut - 1
Blood in urine - Transitional cell cancer of the bladder.
Urology Discharge Summary
Hispanic male patient was admitted because of enlarged prostate and symptoms of bladder neck obstruction.
Urology Letter
Vasectomy 10 years ago, failed. Azoospermic. Reversal two years ago. Interested in sperm harvesting and cryopreservation
Voluntary sterility. Bilateral vasectomy. The vas deferens was grasped with a vas clamp. Next, the vas deferens was skeletonized. It was clipped proximally and distally twice.
Vasectomy - 1
Normal vasectomy
Vasectomy - 2
Normal vasectomy
Vasectomy - 3
Desire for sterility. Vasectomy. The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas.
Vasectomy - 4
Fertile male with completed family. Elective male sterilization via bilateral vasectomy.
Whole Body Radionuclide Bone Scan
Whole body radionuclide bone scan due to prostate cancer.