Case -T10-1C OPERATIVE REPORT, CYSTOSCOPY

Case
-T10-1C OPERATIVE REPORT, CYSTOSCOPY
LOCATION: Outpatient, Hospital
PATIENT: Martin Glass
SURGEON: Ira Avila, MD
PREOPERATIVE DIAGNOSIS: History of vesical neck contracture, post radical prostatectomy
POSTOPERATIVE DIAGNOSIS: Same, with foreign body removal
PROCEDURE PERFORMED: Cystoscopy, foreign body removal from vesical neck
ANESTHESIA: General
PROCEDURE: Please see the preoperative note for indications of the procedure as well as full informed consent. The patient underwent general anesthetic, was put in the dorsolithotomy position, and was prepped and draped in the usual fashion. Cystoscopically the bladder neck was sitting fairly open at this point, having had a catheter in through the weekend. Findings revealed a couple of small staples from the stapled superficial venous complex to have eroded through the anastomosis. These were plucked out using a cold cup biopsy forceps. He tolerated the procedure well.
T10-1C:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________