Medical Specialty:
Urology
Sample Name: Cystourethroscopy & TURP - 1
Description: 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.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSES:
1. Urinary retention.
2. Benign prostate hypertrophy.
POSTOPERATIVE DIAGNOSES:
1. Urinary retention.
2. Benign prostate hypertrophy.
PROCEDURES PERFORMED:
1. Cystourethroscopy.
ANESTHESIA: Spinal.
RESECTION TIME: Less than one hour.
INDICATION FOR PROCEDURE: 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.
PROCEDURE: PROCEDURE: Informed written consent was obtained. The patient was taken to the operative suite, administered spinal anesthetic and placed in dorsal lithotomy position. She was sterilely prepped and draped in normal fashion. A #27-French resectoscope was inserted utilizing the visual obturator blanching the bladder. The bladder was visualized in all quadrants, no bladder tumors or stones were noted. Ureteral orifices were visualized and did appear to be near the enlarged median lobe. Prostate showed trilobar prostatic enlargement. There were some cellules and tuberculations noted. The visual obturator was removed. The resectoscope was then inserted utilizing the #26 French resectoscope loop. Resection was performed initiating at the bladder neck and at the median lobe.
PLAN: We will admit with antibiotics, pain control, and bladder irrigation possible void trial in the morning.
Keywords: urology, urinary retention, transurethral resection of prostate, prostate, enlarged, obstructive voiding symptoms, benign prostate hypertrophy, ureteral orifices, prostate hypertrophy, cystourethroscopy, turp, hypertrophy, resectoscope, urinary, bladder, resection,