Holmium Laser Ablation of Prostate Sample Report

DATE OF PROCEDURE:  MM/DD/YYYY

PREOPERATIVE DIAGNOSIS:  Prostatic obstruction.

POSTOPERATIVE DIAGNOSIS:  Prostatic obstruction.

PROCEDURE PERFORMED:  Holmium laser ablation of the prostate.

SURGEON:  John Doe, MD

ANESTHESIA:  General.

DESCRIPTION OF PROCEDURE:  The patient was brought to the operating room and placed on the table in the dorsal lithotomy position following spinal anesthetic. He was prepped and draped in the customary fashion. Cystoscopic examination showed trilobar hyperplasia with 3 to 4+ trabeculation and cellule formation. The Holmium laser was introduced and Holmium laser ablation of the prostate was performed resulting in good vaporization of tissue in the prostate gland. A 22 French Foley catheter was inserted and irrigated until clear, and the patient tolerated the procedure well and was returned to the recovery room in satisfactory condition.

Sample #2

DATE OF PROCEDURE:  MM/DD/YYYY

PREOPERATIVE DIAGNOSIS:  Prostatic obstruction.

POSTOPERATIVE DIAGNOSIS:  Prostatic obstruction.

PROCEDURE PERFORMED:  Holmium laser ablation of the prostate.

SURGEON:  John Doe, MD

ANESTHESIA:  Spinal.

DESCRIPTION OF PROCEDURE:  The patient was brought to the urology suite and placed on the table in the dorsal lithotomy position following spinal anesthetic. The perineum was prepped and draped in the customary fashion. Cystoscopic examination was performed showing prostatic obstruction with 3+ bladder trabeculation. Holmium laser ablation of the prostate was then performed in the circumferential fashion from 12 o’clock to 6 o’clock in the clockwise fashion and then in the counterclockwise fashion resulting in good vaporization of tissue. A Foley catheter was inserted into the bladder over a catheter guide and then irrigated until clear. The patient tolerated the procedure well. He was returned to the recovery room in satisfactory condition.

Sample #3

DATE OF PROCEDURE:  MM/DD/YYYY

PREOPERATIVE DIAGNOSIS:  Prostatic obstruction.

POSTOPERATIVE DIAGNOSIS:  Prostatic obstruction.

PROCEDURE PERFORMED:  Holmium laser ablation of the prostate.

SURGEON:  John Doe, MD

ANESTHESIA:  General.

DESCRIPTION OF PROCEDURE:  The patient was brought to the operating room and placed on the table in the dorsal lithotomy position and prepped and draped in the customary fashion. Cystoscopic examination showed trilobar prostatic obstruction. The bladder was entered. 3+ to 4+ trabeculation with cellule formation was noted. No papillary tumors or stones were present. The ureteral orifices were normal in position and shape, and the efflux from both was clear. The bladder was emptied. A Holmium laser was introduced, and Holmium laser ablation of the prostate was performed and tissue received. Holmium energy from the 12 o’clock to the 6 o’clock position in a counterclockwise fashion and in a clockwise fashion resulted in good ablation of the prostatic tissue. A Foley catheter was introduced, and the bladder was irrigated until clear. The patient tolerated the procedure well and was returned to the recovery room in satisfactory condition.