OPERATION DATE: PREPROCEDURE DIAGNOSES: 1. Benign prostatic hyperplasia with lower urinary tract symptoms POSTPROCEDURE DIAGNOSES: 1. Benign prostatic hyperplasia with lower urinary tract symptoms PROCEDURES PERFORMED: 1. Transurethral laser vaporization of prostate 2. Foley catheter placement by MD PRIMARY SURGEON: Louis Spencer Krane, MD ASSISTANT: William Hughes, MD (R) ANESTHESIA: General ESTIMATED BLOOD LOSS: 50 mL SPECIMENS REMOVED: None COMPLICATIONS: None DRAINS: None TUBES: A 22-French 2-way Foley catheter with 60 mL in the balloon IMPLANTS: None FINDINGS: 1. Enlarged lateral lobes. No significant median lobe. 2. Bilateral UOs intact at the conclusion of the case. INDICATION FOR THE PROCEDURE: Mr. PROCEDURE IN DETAIL: The patient was identified in the preoperative holding area. Informed consent was obtained. The patient was brought back to the operating room and placed in the lithotomy position under general anesthesia. The area was prepped and draped in the usual sterile fashion. A timeout was called with all members of the surgical team present. A rigid cystoscope for the thulium laser was passed through the urethra and into the bladder. The prostate was examined and noted to have enlarged lateral lobes. The bilateral ureters were noted to be far apart from the prostate. The thulium laser was then used to resect the prostate starting at the 5 and 7 o'clock position and with some resection of the median lobe and then each of the lateral lobes until there was a wide open channel from the verumontanum to the bladder neck. Any bleeding was coagulated with the thulium laser. The bladder was emptied to get any residual debris out of the bladder. The flow was turned off on the resectoscope and no significant bleeding was noted. The cystoscope was then removed and a 22-French 2-way Foley catheter was placed. There was noted to be no significant bleeding from the catheter. The patient was awoken from anesthesia and taken to the PACU for recovery. DISPOSITION: He will be discharged after PACU recovery. The catheter will be removed in clinic in approximately 3 days.