[Answered]: Case 1: Resection of Prostate Preoperative…

Case 1: Resection of Prostate Preoperative diagnosis: Benign prostatic hyperplasia Postoperative diagnosis: Benign prostatic hyperplasia Operation performed: Transurethral electrosurgical resection of the prostate Anesthesia: General Complications: None Indications: This is an 83-year-old male with severe benign prostatic hyperplasia. He has had ongoing problems with urinary retention and will need to have a transurethral resection of prostate (TURP) to alleviate the above-mentioned problems. Potential complications include but arc not limited to: infection, bleeding, incontinence, impotence, and urethral structure. Procedure: The patient was identified, after which he was taken into the operating room. General LMA anesthesia was then administered. The patient was given prophylactic antibiotic in thc preoperaVive holding area. The patient was then positioned, prepped, and draped. Cystoscopy was then performed by using a #26-French continuous flow resectoscope and visual obturator. The prostatic urethra appeared to be moderately hypertrophied due to the lateral lobes and a large median lobe. The anterior urethra was normal without strictures or lesions. The bladder was found to have no abnormalities. Using the monopolar resectoscope and a right angle resection loop, the prostatc was resected initially at the area of the median lobe. Once the median lobe was completely resected* the left lateral lobe and thcn_ the right lateral lobes wcre taken down. (_)nce an adequate channel had been achieved, thc prostatic specimen was retrieved from thc bladder by using an Ellik evacuator. A 3mm bar electrode was then introduced into the prostate for hcmostasis. The shcath was removed under direct vision and a #24-French Foley catheter was then inserted with pinkish irrigation fluid obtained. The patient tolerated the operation well. ICD-10-CM codes: (2 codes) ICD-10-PCS coed: (1 code)