DATE OF PROCEDURE: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Obstructive voiding difficulties.
POSTOPERATIVE DIAGNOSIS: Enlarged obstructive prostate gland.
PROCEDURES PERFORMED:
1. Cystoscopy.
2. Transurethral resection of the prostate.
SURGEON: John Doe, MD
ANESTHESIA: General.
COMPLICATIONS: None.
POSTOPERATIVE CONDITION: Good.
DESCRIPTION OF PROCEDURE: The patient was brought to the cystoscopy suite where general anesthesia was induced and maintained in the usual fashion without difficulty. The patient was then placed in the dorsal lithotomy position, and the external genitalia prepped and draped in the routine fashion.
A 21 French ACMI panendoscope was assembled and inserted into the patient’s bladder without difficulty. Inspection reveals no abnormalities of the urethra. The prostate was then evaluated. The prostate measured about 3 cm in length, and there was a large chunk of prostatic tissue extending on the middle lobe and over to the left lateral lobe. This acted like a ball valve. The remainder of the prostate was not particularly enlarged. The bladder was entered. The bladder was very highly trabeculated. The ureteral orifices were seen. Urine efflux was clear from both sides. There was no sign of any lesions or tumors within the bladder. We do not see any diverticula.
A 24 French resectoscope sheath with obturator was then inserted into the patient’s bladder. Resection of the obstructing tissue was now performed. This was accomplished flush to the floor of the prostate and then the lateral lobe was well resected. Some tissue from the right lobe was resected and a little anterior lobe tissue was resected as well. Bovie cautery was used to control bleeding, which was never very brisk. Chips were recovered from the bladder using an Ellik evacuator. When the procedure was completed, the prostatic fossa was now nicely opened. The ureteral orifices were easily seen. All chips had been removed.
A 24 French Foley catheter was inserted into the patient’s bladder without difficulty. The balloon was inflated to approximately 60 mL and the catheter was irrigated to clear. The procedure was completed. The patient was then awakened and taken to the recovery room in good condition.
