Code the following using ICD-IO-CM and ICD-IO-PCS Carcinoma of prostate Carcinoma of prostate Transurethral resection of the prostate Spinal After
operative consent, the patient was brought to the operating room
and placed on the table in the supine position. With spinal
anesthesia induced, the patient was converted to the dorsolithotomy
position. The genital area was prepped and draped in the usual and
sterile fashion. A 26 French continuous flow resectoscope Sheath
was inserted per urethra into the bladder with the obturator in
place. The Obturator was removed and the resectoscope was seated
within its sheath. The bladder was visualized. The ureteral
orifices were identified. The resectoscope was pulled to the distal
portion of the verumontanum and turned to the 12 0’clock position
and resection was begun. Resection was carried circumferentially
around the glans channeling a large channel. Hemostasis was
obtained by means of electrocoagulation. There were no major venous
sinuses or capsular perforations encountered. The verumontanum was
left intact. After completion of resection, the bladder was
evacuated of residual prostatic chips using the Ellik evacuator.
The bladder was then visualized. There were no residual chips
identified. Ureteral orifices were intact and uninjured. The
bladder neck and prostatic fossa were widely patent. Final
hemostasis was obtained by means of electrocoagulation and the
resectoscope was removed. A 22 French, 3 way, 30 cc Foley catheter
was inserted per urethra into the bladder with ease. It was
irrigated until clear. It was placed on light traction with
continuous bladder irrigation with sterile water and the patient
was transported to the recovery room in stable condition. Code(s):
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