Sample Report: Cystoscopy & Ureteroscopy
DIAGNOSIS: Left distal ureteral calculus.
PROCEDURES PERFORMED
1. Cystoscopy.
2. Left ureteroscopy.
3. Insertion of a double-J stent.
DESCRIPTION OF PROCEDURE: After spinal anesthesia, the abdomen and genitalia were prepped and draped in the usual fashion. Endoscopic evaluation failed to reveal any abnormalities of the bladder. Bimanual pelvic examination revealed a very small cystic change in the apex. Retrograde pyelogram revealed the distal ureteral calculus to be on the edge of the distal ureter. Endoscopically this was most likely a phlebolith as it was not intramural and intramucosal. The distal ureteral stricture was dilated to 15 French with a 4-cm balloon at 17 atmospheres. A double-J stent was inserted and secured in place to prepare for left ESWL of the patient's 1-cm stone in the lower pole of the left kidney. The patient tolerated the procedure well and was sent to the recovery room in stable condition.