Operative Note

PROCEDURE:    Cystoscopy with bladder biopsy.

SUMMARY:   The patient was taken to the operating room and placed in the lithotomy position, and prepped and draped in the usual sterile fashion.  A 22 French cystoscope was then placed into the urethra and advanced into the urinary bladder showing mildly enlarged trilobed view of the prostate.  Upon entry to the urinary bladder, the bladder was examined with 30 and 70 degree lenses.  A small foreign like projection was found distal to the right ureteral orifice.  Biopsy forceps were used to biopsy this lesion and Bugbee cautery was used for hemostasis. Upon completion of the biopsy, the rest of the bladder was examined showing no further lesions.  Ureteral orifices were in the normal anatomic position with clear urine.  The cystoscope was then removed.  An 18 French catheter was placed.  The patient was taken to recovery in stable condition.  The patient went home with the catheter since we will see him tomorrow morning. The patient will follow up for pathology results.    
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