HPI:

 

PROCEDURE: Cystoscopy

 

INDICATION FOR PROCEDURE: BPH w/ LUTS

 

ANESTHESIA: 2% lidocaine jelly

 

SURGEON: Dr. Garrett Brinkley

 

ASSISTANT: Philip Rose

 

STAFF: Dr. *******

 

EBL: NONE

PROCEDURE IN DETAIL:

After informed consent, Patient was prepped and draped in standard cystoscopic fashion. A flexible cystoscope was inserted into the urethra then the bladder. The bladder was systematically inspected. Scope was retroflexed to inspect prostate. Cystoscope was then removed with further inspection of the prostate.

Findings in summary:

 

1. Bladder:

-Ureteral orifices are normal and in orthotopic postion with bilateral efflux noted

-On retroflexion, the median lobe of the prostate did/did not ***** protrude intravesicularly

-The mucosa was normal and specifically, no papillary lesions were noted.

-***** Trabeculations

 

2. Prostate:

-The prostatic urethra demonstrated/did not demosntrate****** considerable bilobar enlargement

 

3. Anterior Urethra:

-No stricture disease apprciated

Uroflow:

Volume Voided:  ml

Qmax: ml/s

PVR: ml

Void Time: s

Flow Pattern:

Impression:

Patient has significant causing obstruction of urinary flow consistant with urinary symptoms. These are base on both cystoscopic and uroflowmetry studies. Notably, the patient's prostate was felt to be of a size on cystoscopy.

 

DISPOSITION: Home

 

Staff Level:

I: Staff physically present/directly involved in procedure

 

Was Procedural Time Out Verification completed prior to procedure?

Yes

 

Assessment:

 

Plan:

 

BPH:

 

Garrett Brinkley MD