Operation:

Transurethral Resection of the Prostate (TURP)

Procedure Detail:

After operative consent, the patient was brought to the operating room and placed on the table in the supine position. With spinal anesthesia induced, the patient was converted to the dorsolithotomy position. The genital area was prepped and draped in the usual and sterile fashion.

A 26 French continuous flow resectoscope sheath was inserted per urethra into the bladder with the obturator in place. The obturator was removed and the resectoscope was seated within its sheath. The bladder was visualized. The ureteral orifices were identified.

The resectoscope was pulled to the distal portion of the verumontanum and turned to the 1 o’clock position, and resection of the posterior lobe was begun.

Resection of the only the posterior lobe was carried circumferentially around the glans, channeling a large channel.

Hemostasis was obtained by means of electrocoagulation. There were no major venous sinuses or capsular perforations encountered. The verumontanum was left intact.

After completion of resection of the posterior lobe of the prostate, the bladder was evacuated of residual prostatic chips using the Ellik evacuator.

The bladder was then visualized. There were no residual chips identified.

Ureteral orifices were intact and uninjured.

The bladder neck and prostatic fossa were widely patent.

Final hemostasis was obtained by means of electrocoagulation, and the resectoscope was removed.

A 22 French, 3-way, 30-cc Foley catheter was inserted per urethra into the bladder with ease. It was irrigated until clear. It was placed on light traction with continuous bladder irrigation with sterile water, and the patient was transported to the recovery room in stable condition.

Case Study 3

0VB08ZZ Excision, Prostate (0VB0)

Rationale: The posterior lobe of the prostate is cut out via the TURP, transurethral resection of the prostate. Since only a portion of the prostate was removed, the root operation is Excision. The approach is via a natural/artificial opening endoscopic. The resectoscope is utilized to resect portions of the prostate. The prostate chips are also removed endoscopically.