Cysto for BPH

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

PGY1, Urology