Wiki Trans-urethral resection of intra-bladder left ureteral...

umcanes4

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Hello everyone! Was hoping someone can guide us in the right direction on this surgery. patient had a nephrectomy done a few days earlier. We are kinda stumped on this one. Thank you in advance :)



Procedure Name: Elective Cystoscopy, Trans-urethral resection of intra-bladder left ureteral inverted stump and fulguration of left ureteral orifice.

History: Intra-bladder inversion of left ureteral stump from prior ureteral avulsion.

Procedure Description: After informed consent was received patient was brought to the operating room and placed in a supine position. Anesthesia was induced. Patient was placed in a dorsal lithotomy position and genitals were prepped and draped in a standard fashion. Appropriate time out was performed. Cystoscopy revealed: Intra-bladder inversion of left ureteral stump from prior ureteral avulsion,
The ureteral stump were resected and the left ureteral orifice was then fulgurated. The ureter was sent to pathology for permanent examination. Hemostasis was achieved. Scope was removed and a Foley catheter was placed and was draining clear urine.
 
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