lcole7465
Expert
Is there a code for the manipulation of a ureteral stent?
Procedure : Cystoscopy, forceps manipulation of left ureteral stent, replacement of indwelling Foley catheter
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Details of Procedure: The patient was taken to the OR. Time-out completed. Sterilely prepped and draped in dorsal lithotomy position, and administered monitored anesthesia 30 degree cystoscope lens was passed with 22 French sheath into the bladder. Normal anterior urethra. Benign prostatic hyperplasia with obstruction and high bladder neck. The stent was visualized emanating from left ureteral orifice, and this was visualized fluoroscopically at the proximal end of the stent as well. With direct and fluoroscopic visualization, the stent was grasped initially with 30 and subsequently 70 degree lens and grasping forceps, and the stent was manipulated out distally to bring the curl of the stent back in the expected position of the left renal collecting system. Position appeared much improved. There was significant redundancy in the bladder once I then pushed the stent back using sheath of the cystoscope into the bladder, but we were very pleased with the overall position. The scope was withdrawn.
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Fourteen French Foley catheter well lubricated was passed with sterile technique in the bladder, with return of clear irrigating fluid. 10 milliliter sterile water used to inflate balloon.
Thanks
Procedure : Cystoscopy, forceps manipulation of left ureteral stent, replacement of indwelling Foley catheter
*
Details of Procedure: The patient was taken to the OR. Time-out completed. Sterilely prepped and draped in dorsal lithotomy position, and administered monitored anesthesia 30 degree cystoscope lens was passed with 22 French sheath into the bladder. Normal anterior urethra. Benign prostatic hyperplasia with obstruction and high bladder neck. The stent was visualized emanating from left ureteral orifice, and this was visualized fluoroscopically at the proximal end of the stent as well. With direct and fluoroscopic visualization, the stent was grasped initially with 30 and subsequently 70 degree lens and grasping forceps, and the stent was manipulated out distally to bring the curl of the stent back in the expected position of the left renal collecting system. Position appeared much improved. There was significant redundancy in the bladder once I then pushed the stent back using sheath of the cystoscope into the bladder, but we were very pleased with the overall position. The scope was withdrawn.
*
Fourteen French Foley catheter well lubricated was passed with sterile technique in the bladder, with return of clear irrigating fluid. 10 milliliter sterile water used to inflate balloon.
Thanks