Sample Report: Cystoscopy & Transurethral Resection
DIAGNOSIS: Benign prostatic hypertrophy.
PROCEDURE PERFORMED: Cystoscopy and transurethral resection of the prostate with vaporization.
DESCRIPTION OF PROCEDURE: In the dorsal lithotomy position after spinal anesthesia, the abdomen and genitalia were prepped and draped in the usual fashion. Endoscopic evaluation demonstrated that the patient had no significant urethral abnormalities. The prostate revealed two visual fields of significant intravesical components with median lobe type of hypertrophy and 3+ trabeculation of the bladder muscle without significant other pathology. Resection was carried out using the Iglesias rectoscope element with continued monitoring, continued Sorbitol irrigation, and video monitoring. Resection was done to the median lobe components to the circular capsule of fibers of the bladder neck floor, lateral lobes, anterior tissue and apically, circumferentially removing all of the obstructive tissue down to the level of the verumontanum. Irrigation was done and all chips were removed. Fulguration was done with a VaporTrode electrode and VaporTrode ball at a setting of 250 watts for complete hemostasis. At the end of the procedure, no injuries to the bladder, trigone, ureteral orifices, prostatic fossa, external sphincter, verumontanum, or urethra were noted. The patient tolerated the procedure well and was taken to the recovery room in stable and satisfactory condition.