Wiki Urethral Meatotomy and Urethroplasty?

toria11

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171
Location
Clearwater, FL
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Hi! How would you code this? I was thinking 53400? Thank you!

Postoperative Diagnosis
Urethral meatal stricture fossa navicularis stricture BPH with obstruction

Procedure Performed
Urethral meatotomy urethroplasty distal

Type of Anesthesia
General

Indications
Urethral stricture

Findings
Urethral meatal fossa navicularis stricture BPH with obstruction

Specimen(s)
None

Technique/Description of Procedure
Patient was placed in the supine position was prepped and draped in the usual manner he had a pinpoint urethral meatus. We placed a small forceps into the meatus. Then with the scalp pole we cut down to the urethra. The stricture extended all the way into the fossa navicularis. We therefore continued the incision that far. Once that was done we performed a urethroplasty approximating the mucosa to the skin of the glans after we coagulated bleeders. We then placed him in the dorsal lithotomy position performed a cystoscopy which did not show any other urethral strictures but it did show that he had BPH with obstruction. We then placed a 16 Foley catheter in his bladder and applied Neosporin ointment. HS 20211215

Implants and Devices
Catheter
 
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