Operative Note

DIAGNOSIS: Bladder tumor.

SUMMARY: Under adequate spinal anesthesia, the patient was put in lithotomy position and area prepped and draped in the usual sterile manner. A #22-French Olympus cystoscope was introduced in the urethra, advanced under direct vision into the bladder. With the 8-French cone-tip urethral catheter, bilateral retrograde pyelograms were performed. No abnormalities were noted on the retrograde pyelogram. Following that, bladder was left full and the cystoscope removed.

A #24-French continuous flow resectoscope was then introduced in the urethra, advanced under direct vision into the bladder.

Above-mentioned findings on cystoscopy were confirmed. Following that, the bladder tumors which were found were resected down to the base of the bladder tumor and hemostasis was achieved with spot cauterization of the bleeding points. Following that, bladder was emptied along with the bladder tumor pieces. Bladder was once again examined. Hemostasis was adequate. Urethral orifices were normal and there was clear efflux noted from both of them. The bladder was left full, resectoscope removed, replaced with a 20-French Foley catheter, balloon of which was inflated with 10 cc of water.

Bimanual exam performed at the end of procedure failed to reveal a pelvic mass. The prostate felt firm and benign in consistency. Continuous bladder irrigation was started in the operating room. The patient tolerated the procedure well, left the operating room in satisfactory condition.

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