A 75-year-old male was admitted to the hospital in acute uri…

A 75-year-old male was admitted to the hospital in acute urinary retention. A transurethral endoscopic resection of the prostate was performed but the entire prostate was not removed. The diagnosis of benign nodular hyperplasia of the prostate was made. The pathologist ­confirmed the hyperplasia diagnosis and also found microscopic foci of adenocarcinoma of the prostate. The attending physician listed both conditions as discharge diagnoses. Principal Diagnosis: Secondary Diagnosis: Secondary Diagnosis: Principal Procedure:

The patient is a 68-year-old female who had a hysterectomy 2…

The patient is a 68-year-old female who had a hysterectomy 22 years ago and had a cystocele repair eight years ago. Now the patient has had very significant urinary stress incontinence for the past two years and is admitted at this time for surgical treatment. ­Conservative ­management with medications provided no improvement of her stress incontinence. The patient required inpatient recovery and monitoring because of her oxygen dependence due to severe COPD. The day of admission the patient was taken to surgery for a suprapubic sling operation. The procedure is a suspension of the urethra using the levator muscle to ­reposition the bladder neck to restore support to the bladder and urethra. The patient was able to be released from the hospital late in the afternoon on the day after surgery with no complications from the anesthesia, and her lung function returned to her baseline status. Home healthcare services were ordered for the patient, and a follow-up appointment in the urologist’s office was scheduled for seven days after surgery. Principal Diagnosis: Secondary Diagnosis: Secondary Diagnosis: Principal Procedure:  

The 38-year-old male patient is being admitted for the follo…

The 38-year-old male patient is being admitted for the following procedure: ­transurethral ureteroscopic lithotripsy using high-energy shock waves. The patient is known to have several large bilateral ureteral stones, and other attempts to remove them endoscopically have been unsuccessful. The bilateral lithotripsy procedure is performed without complications, and the surgeon is satisfied that the ureteral stones appeared to be fragmented well and would be ­eliminated from the body by urination. Principal Diagnosis: Principal Procedure: Secondary Procedure:

An 80-year-old male was brought to the emergency department…

An 80-year-old male was brought to the emergency department with complaints of lower abdominal pain and the inability to urinate over the past 24 hours. An indwelling urinary ­catheter was placed in the patient, and he was admitted. After study, it was determined that the patient was in subacute to acute renal failure. The acute renal failure was caused by a ­urinary obstruction. The urologist concluded the urinary obstruction was a result of the patient’s benign prostatic hypertrophy. An intravenous pyelogram of the kidneys, ureters and bladder with low osmolar contrast was performed fluoroscopically and confirmed the physician’s diagnoses. The patient was treated with medications, and the acute renal failure was resolved. The catheter remained in place for drainage. The patient would require a resection of the prostate but would return for prostate surgery the following week. The patient was discharged home. Principal Diagnosis: Secondary Diagnosis: Secondary Diagnosis: Hint: code the catheter placement and the pyelography Principal Procedure: Secondary Procedure(s):