| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | AA | AB | AC | AD | AE | AF | AG | AH | AI | AJ | AK | AL | AM | AN | AO | AP | AQ | AR | AS | AT | AU | AV | AW | AX | AY | |
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2 | Touro / VA / UMC / EJGH / Other Cases *** on call, *** on call at VA Birthdays: *** | ||||||||||||||||||||||||||||||||||||||||||||||||||
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4 | Thomas (Moore)h | Tulane | Mackey, Frances 118406669 68F | Bilateral renal masses. s/p R radical nephrectomy, backtable partial nephrectomy for removal of multifocal renal masses, and autotransplantation 1/18/23 with Dr. Thomas/Vijay (path pT1bN0Mx grade 2 clear cell RCC, margin positive at R midpole mass). MRI on 11/8/22 demonstrated 4.2 cm enhancing mass centrally on the L concerning for RCC. NM renal scan 5/23/23 demonstrated normal R renal autograft perfusion and function curve (limited by position of kidney). Normal L kidney perfusion and function. Split function not reported d/t position of kidney. CXR 1/2023 negative. Family hx of brother with kidney cancer requiring nephrectomy. No AC. | L RAPN vs RARN | PMHx: HPI, HTN, glaucoma PSHx: HPI, hysterctomy, breast cyst removal Cr: 1.03 UCx: needs BMI: 36.9 Clearance: has medical clearance | Ceevra, CTap 1/25/2023, MRI 11/8/2022 | ||||||||||||||||||||||||||||||||||||||||||||
5 | Jenkins | Tulane | Mason, Cleophas 70M D000117909 | ED s/p AMS 700CX 3-piece IPP 18cm +2cmRTE bilaterally and reservoir L space of retzius in 2020 with Dr. Raheem. Difficulty with Pumping device wants 2-piece. Of note hx ESRD on TTS HD, CAD s/p PCIx4, G3+5 s/p XRT and relugolix w/Dr. Harris PSA undetectable 12/2021 but no follow up since then. He is anuric. | IPP revision to 2-piece. | PMHx: ESRD on HD TTS, CAD s/p PCI x4 (has not seen cardiologist in years, hypertensive and tachycardic in clinic visit) PSHx: IPP, SPACE OAR Cr: 6 UCx: anuric BMI: 20 Clearance: NEEDS CARDIOLOGY | none | ||||||||||||||||||||||||||||||||||||||||||||
6 | Wang | VA | Deblanc, Eric x4782 71M | Urethral stricture. Cystoscopy 2018 showed 2.5cm bulbar urethral stricture that was passable with scope with wire. No showed urethroplasty with Dr. Hellstrom 2021. Cystoscopy 8/17/2023 scope was unable to be passed due to 1.5-2cm bulbar stricture, lumen large enough to accommodate guidewire but not the flexible cystoscope. Tried flomax, worsened his incontinence. On vesicare. History of PCa s/p XRT and ADT 2013. PSA 2/2023 0.57. Wishes for less invasive treatments. Self-cancelled. | Urethral dilation/DVIU | PMHx: PCa s/p XRT + ADT 2013, DM (A1c 6.2), PUD PSHx: none Cr: 0.9 UCx: Needs BMI: 20.9 Clearance: anes for 8/29 | RUG 8/17/23 | 985-214-6253 - surgical history | |||||||||||||||||||||||||||||||||||||||||||
7 | Thomas | UMC | Zamora, Kristen 37F 1000525483 | R UPJO. Hx right hydronephrosis w/ concern RUPJO. CTAP 01/2021 showed right hydro. MAG3 renal scan 10/31/22 showed Left uptake 58%, 42% right kidney. L kidney T 1/2 7min and right kidney T 1/2 36min. Previously scheduled 12/2022, no showed. NEEDS UPDATED RENAL NM SCAN, scheduled for 9/18 | R Robotic Pyeloplasty | PMHx: Bipolar disorder, cauda equina s/p spinal surgery PSHx: back sx Cr: Needs eGFR Needs UCx: Needs Clearance: none BMI: 32 | CTU (10/31/22) | ||||||||||||||||||||||||||||||||||||||||||||
8 | Wang | VA | Randall, James 75M x2402 | b/l hydrocele. Referred to urology with large, bothersome bilateral hydroceles. Claims scrotum gets in the way when urianting. Right size fo a grapefruit, left size of an orange. DM, A1c 8.5 | b/l hydrocelectomy | PMHx: CAD, HTN, DM, CKD, COPD, Hidradenitis PSHx: CABG (2007), PCI (2013) Cr: 1.8 UCx: n/a BMI: 48 A1c: 8.5 Clearance: Cards, recent hospital admission for angina, anesthesia scheduled 9/5 | Scrotal US (6/13/23) | ||||||||||||||||||||||||||||||||||||||||||||
9 | Wang | VA | Dhanraj, Tony 76M x9113 | Phimosis. History of recurrent UTIs and phimosis. Patient has been having difficulty retracting foreskin. He did not want to pursue dexamethasone cream due to lack of dexterity. Previously scheduled in January however case cancelled as pt did not show up. Has A-fib, on Eliquis | Circumcision | PMHx: Afib, DMII, HTN, HLD, BPH, pyelonephritis PSHx: none Cr: 0.7 UCx: n/a BMI: 24 A1c: 6.3 Clearance: Has cards 5/3/23; needs anesthesia, not scheduled | None | ||||||||||||||||||||||||||||||||||||||||||||
10 | Krane | VA | Warr, Louis 69M x2616 | Urinary retnetion. Cysto 8/4/22 with enlarged median lobe w/ intravesical protrusion, MRI volume 23cc. Catheter dependent. Also with hx of CaP (Ochsner) dx 6/2019, PSA 12.1 at the time, Bx with low volume 3+3. Planned on brachytherapy however did not receieve due to urinary retention. PSMA 2/23/23 with questionable nodal disease. Plan for TURP to aleviate pt of catheter dependency, then will address CaP. On Plavix | TURP | PMHx: BPH, CKD, CaP, HFrEF, anemia, PAD, CAD, blindness, GI bleed PSHx: leg stents, PCI x3, failed CEA Cr: 1.7 UCx: 8/17 E coli, Proteus, E. faecalis PSA: 11.89 (with foley) BMI: 18 Clearance: needs TTE ordered by cards 7/24, anesthesia pending echo results | pMRI (11/22/22) PSMA (2/23/23) | ||||||||||||||||||||||||||||||||||||||||||||
11 | Jenkins | UMC | Perrin, Walter 51M 1002401383 | Erectile Dysfunction: Prior IPP x3 and Maleable x1 with Drs. Labdie and Hellstrom. Has had both Coloplasts and Boston Scientific, prefers Coloplast. Most recently malleable removed 9/1/22 for infection of ESBL E.coli and Candida parapsilosis. Long discussion with Dr. Jenkins about being high risk for re-infection, but patient wants to take risk. | IPP | PMHx: Psoriasis (Humira), Gout, OSA, CVA 2006, HTN PSHx: Penile Prosthesis x4, Pre-diabetes (A1c: 5.3) Cr: 0.81 UCx: 8/24/23 No Growth BMI: 32.19 Clearance: Has Cardiac 8/9/23, on Ozempic, Plavix and Humara | |||||||||||||||||||||||||||||||||||||||||||||
12 | Krane | VA | Texada, Benjamin x1042 66M | Prostate cancer. Refused treatment in 7/2021, referred to Mary Bird Perkins for brachytherapy, which he was not a candidate for. Continued to refuse treatment and presented 2022 with increased PSA from previous. | Cryo prostate | PMHx: prediabetes (A1c 6.0), TAA, cervical radiculopathy, sigmoid stricture PSHx: n/a Cr: 0.9 UCx: needs UA BMI: 23.2 Clearance: anes 9/13, needs to be rescheduled due to positive COVID 9/1 | |||||||||||||||||||||||||||||||||||||||||||||
13 | Wang | VA | Baudier, Lloyd x9190 76M | BPH/LUTS. Underwent iTind 5/27/22. Still reported bothersome LUTS. Cystoscopy 4/11/23 showed bilateral lobar hyperplasia of prostate with severe trabeculations, cellules, and diverticuli noted. Uroflow: VV 391cc, Qavg 13ml/s, Qmax 26ml/s, PVR 52ml. Prostate ~45g on CT 2021. PSA 1.07, PSAD 0.02. IPSS 14, mixed bother score. On flomax, not managing his symptoms of frequency and nocturia. | TURP | PMHx: SNHL, OA, TAA, HTN, CAD, prediabetes, COPD PSHx: 4V CABG 2020, Aflutter ablation 2021 Cr: 0.9 UCx: GNR <10k 9/11 BMI: 31.9 Clearance: has anes 9/12, previous cards 4/2023 | CTap 10/7/2021 | Previously on finasteride. No DRE. Previously took solifenacin, mirabegron. | |||||||||||||||||||||||||||||||||||||||||||
14 | Wang | VA | Toca, Albert x4992 70M | Bladder lesion. Seen for gross hematuria episode that self-resolved. >30 packyear smoking history, quit smoking March 2022. CTU 7/17/23 showed partial opacification of posterior bladder but no upper tract lesions. Cystoscopy 8/30/23 showed 2 isolated lesions, one of which was adjacent to the left UO. | TURBT | PMHx: CAD, PAD, OSA, OA, HTN, HFrEF (25-30%) PSHx: s/p PCI 4/2022 Cr: 1.4 UCx: NG 9/16 BMI: 26.6 Clearance: cards 9/14 but high MACE and prefer postponing surgery if possible, needs brilinta held, for anes 9/19 | CTU 7/17/23 | ||||||||||||||||||||||||||||||||||||||||||||
15 | Hellstrom | VA | Joseph, Ronald Leon x7264 61M | Foreskin. Patient would like to have circumcision done. A1c 7.8 7/24/23. | Circumcision | PMHx: LV thrombus, PCa s/p brachy 2010, AUD s/p inpatient tx, chronic pancreatitis, HTN, T2DM PSHx: open umbilical hernia repair 2022 Cr: 0.9 UCx: n/a BMI: 24.3 Clearance: on plavix and eliquis, need cards, need anes | None | Had LV thrombus 2/1/23 and cards wanted plavix and eliquis to stay for 6 months. PSA <0.5. PCa 3+3 s/p XRT/brachy 2010, LUTS and ED on daily cialis, PRN viagra, bladder cystos negative for positive CT scan. PSA 0.39 10/27/22. | |||||||||||||||||||||||||||||||||||||||||||
16 | Jenkins | UMC OSC | Johnson-Cassens, David 30M 1004532921 | Urethral stricture. No hx of trauma/infection/congential abnormalities. Weak stream since 2012. Cysto/RUG 9/15 with pinhold bulbar urethral stricture | Urethral balloon dilation/RUG | PMHx: hypogonadism, ED PSHx: none Cr: Needs UCx: Needs BMI: 31 Clearance: none | Fluoro (9/15/23) ZFP | ||||||||||||||||||||||||||||||||||||||||||||
17 | Wang | VA | Jones, Alvin 77M x8757 | BPH/LUTS. On Flomax. Nocturia x2, dribbling, urgency, frequency. Cysto 9/8 with bilaateral lobe hyperplasia & a large median lobe with intravesical protrusion. Qmax 17, PVR 29. DRE 50g, benign. ~85g on CT. Not on AC | TURP | PMHx: BPH/LUTS, AS, HTN, DMII, GERD, CKD PSHx: R warthin tumor resection, pyloric dilation, cataract, parotidectomy Cr: 1.1 UCx: pending 9/21 BMI: 29 Anesthesia: Scheduled 9/27 Clearance: Needs TTE, per cards recs | CT Pelvis (8/21/23) | ||||||||||||||||||||||||||||||||||||||||||||
18 | Thomas | UMC | Zamora, Kristen 37F 1000525483 | Cancelled | R Robotic Pyeloplasty | PMHx: PSHx: Cr: UCx: BMI: Clearance: | |||||||||||||||||||||||||||||||||||||||||||||
19 | Benson | UMC OSC | Selvage, Jerry 58M 1000148023 | Cancelled | Cysto/RUG | PMHx: PSHx: Cr: UCx: BMI: Clearance: | |||||||||||||||||||||||||||||||||||||||||||||
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21 | Wang | VA | Alexander, Norman x2062 75M | Bilateral hydroceles. Reports scrotal swelling for the past few years. Reports pain in scrotum only with intercourse. Scrotal US 8/17/23 showed moderate to severe right > left bilateral hydroceles. Would like surgical management. | BL hydrocelectomy | PMHx: PSHx: Cr: UCx: BMI: Clearance: A1c: | 8/17/23 Scrotal US | Left intratesticular cysts on US. A1c 6.4. PSA 0.51. On flomax and viagra. | |||||||||||||||||||||||||||||||||||||||||||
22 | Jenkins | Tulane | Anderson, Rich 55M D000626641 | Balanitis. Treated in past with ABx. Seen at UMC in past, not candidate for surgery due to A1c of 12.1. No improvement with course of clobetasol. | Circumcision | PMHx: DM, HTN, HLD PSHx: hemorrhoidectomy Cr: 1.3 UCx: n/a BMI: A1c: Needs updated Clearance: None | None | ||||||||||||||||||||||||||||||||||||||||||||
23 | Wang | VA | Rodrigue, Raymond 76M x7198 | Renal Mass. Incidentally found during chest CT. Exophytic 3.4cm mass of left renal cortex demonstrating corticomedually hyper-enhancement. On Plavix | L RARN | PMHx: HTN, CAD, HLD, Aortic aneurysm PSHx: deviated septum, testicular cyst Cr: 1.1 UCx: n/a BMI: 30 Anesthesia: Needs, no consult requested Clearance: Needs cards, Dr Stein @ WJ | CTAP 8/22/23 Ceevra | ||||||||||||||||||||||||||||||||||||||||||||
24 | Chesrow | VA | Durr, Joseph 78M x8121 | Bladder Mass. L bladder thickening on surveillance CT following Whipple in 2018. 8/31 cysto papillary lesions L lateral wall, BOO 2/2 bilobar hyperplasia. Cytology negative. 30g gland. PENDING CARDS CLEARENCE ON 11/1 | TURBT | PMHx: duodenal cancer, HFrEF (35%), TIA, DMII, HTN, CAD PSHx: MVR, Watchman, CABG (2012), Whipple Cr: 1.1 UCx: Needs BMI: 28 Anesthesia: Pending cards Clearance: Needs cards | CTAP (9/7/23) | ||||||||||||||||||||||||||||||||||||||||||||
25 | Kane | VA | Sims, Henry x5991 | Hg NMIBC: 8/3/23 Bx Ta LG, 12/14/23 TURBT HG NMIBC, 2/1/23 TURBT HG NMIBC. Completed BCG induction. On 3 month cysto identified 2 concerning lesions for cancer including on the right posterior wall and dome of the bladder. 10/13/23 Urine Cytology negative for HG. Hold: Plavix | TURBT | PMHx: Prostate Cancer, DM (A1c: 6.1), TIA, PVD, COPD, CAD, NStemi, ishcemic dilated cardiomyopathy PSHx: CABG Cr: 1.4 UCx: No Growth 10/20 BMI: 23.19 Clearance: Cards Needs | |||||||||||||||||||||||||||||||||||||||||||||
26 | Benson | UMC | Lanning, Joseph 66M 1003513914 | Referred from Ochsner Westbank for LG Ta s/p TURBT on 3/8/23. Repeat TURBT on 4/28/23 at UMC demonstrated non-invasive HG, however, more tumor burden was present at the end of the case. Resection done over UO and RBUS on 6/19/23 with no hydro. CTU on 4/10/23 with no concern of upper tract disease. No recent CTU. Not on AC. Delayed multiple times due to him being out of town in Georgia for work. | TURBT | PMHx: HTN, anemia PSHx: TURBT Cr: **** UCx: **** BMI: 24 Clearance: n/a | |||||||||||||||||||||||||||||||||||||||||||||
27 | Jenkings | UMC | Sterling, Ike 72M 1000266428 | Erectile Dysfunction: Prostate cancer 2012 with unkown pathology. Has tried Viagra, Cialis and ICI. Has headaches with Viagra and Cialis. ICI cuases pain. Medicare insurance. 10/5/23 PSA <0.1. | IPP | PMHx: Gross hematuria, ED, HLD, HTN, LBBB, NICM, DM (A1c: 5.6) PSHx: RARP at Ocshner 2016 Cr: 0.94 UCx: 10/5/23 No Growth BMI: 27.1 Clearance: Cardiac (has negative work up for chest pain recently) | |||||||||||||||||||||||||||||||||||||||||||||
28 | Caso | Tulane | Bartholomew, Richard 29M *** | TURBT | PMHx: none PSHx: pelvic fracture surgery Cr: 1.07 UCx: >100k staph aureus 11/2, taking bactrim BMI: Clearance: none | CTU 10/24/23 (Epic) | |||||||||||||||||||||||||||||||||||||||||||||
29 | Hellstrom | Tulane | West, Brian 50M 1557434 | Peyronie's disease. He reports leftward curvature with no pain or erectile dysfunction. Had PDDU 10/17/23 which showed 90 degree left curvature with severe indentation. Treatment options were discussed but are limited due to the severe indentation from his Peyronie's plaque. | IPP (Coloplast), manual modeling, poss I&G, poss scrotoplasty | PMHx: PSHx: Cr: UCx: 10/17 NG BMI: Clearance: | None | NCCT 7/29/23 | |||||||||||||||||||||||||||||||||||||||||||
30 | Chesrow | VA | Felder, Jimmie 73M x9309 | UUI: 3-4 pads per day soaked refractory to Tamsulosin, daily Cialis, Mirabegron and Vibegron. 44.9cc prostate. TURP 12/20/22 7g. 10/2/23 CMG detrusor overactivity. 11/13/23 Cysto with bladder neck obstuction. VV 216mL, Qmax 24ml/s, PVR 0mL. Meds to Hold: Rivaroxaban CXDDDDD | Cysto, botox | PMHx: Afib, RBBB, T2DM (A1c: 5.9 11/21/22), DVT, OAB, ED, OSA PSHx: TURP, Cr: 1.0 UCx: NEEDS BMI: 31.03 Clearance: Needs Vascular, Cards, Anesthesia | |||||||||||||||||||||||||||||||||||||||||||||
31 | Hellstrom | Tulane | Unger, Terry 66M D001559628 | ED. Patient has had worsening erectile function over the past several years. Mild response to cialis, partial response to ICI. PDDU PDDU 11/1/23 showed erectile dysfunction with bilateral partial insufficiency venous leakage. Has bilateral inguinal hernias so 2-piece vs 3-piece. | IPP (2-piece vs 3-piece) + poss scrotoplasty | ||||||||||||||||||||||||||||||||||||||||||||||
32 | Chesrow (Dartez) | UMC OSC | Broussard, Tamma Ann 59F 1004555241 | Nephrolithiasis. Presented to Lafayette ED 10/13/23 with L flank pain & GH. CT with 11mm calculus in L renal pelvis & mild hydronephrosis. Imaging disc being mailed to UMC clinic | L URS/HLL/SBE | PMHx: nephrolithiasis, depression PSHx: c-section, tubal ligation, tonsilectomy Cr: 1.53 UCx: Needs BMI: 29 Clearance: none | CTAP (10/13/23), report only | ||||||||||||||||||||||||||||||||||||||||||||
33 | Leinwand | VA | Brown, Levelle x5529 | Phimosis. Difficulty & pain retracting foreskin. Failed topicals. Diabetic, A1c 7.7 | Circumcision | PMHx: CAD, hypothyroidism, DMII PSHx: thyroidectomy, 3v CABG (2023) Cr: 1.3 UCx: n/a BMI: 39 Anes: needs Clearance: Needs cards | None | ||||||||||||||||||||||||||||||||||||||||||||
34 | Thomas | Tulane | Coye, Tayari 49F D00119359455 | Bladder leiomyoma. Underwent TAH 9/1/22 with Dr. Shank, urology consulted intraop for iatrogenic posterior cystostomy. Large mass seen emanating from anterior bladder wall. Final path benign leiomyoma of bladder. Patient complains of difficulties with urination. MRI 6/16/23 with 8.9 cm mass right pelvis exerting mass effect on bladder. | Robotic partial cystectomy | PMHx: HTN, anxiety, obesity PSHx: TAH, right eye sx Cr: needs UCx: needs BMI: 47 Clearance: needs | MRI 6/16/23 | ||||||||||||||||||||||||||||||||||||||||||||
35 | Benson | UMC | Robinson, Anderew 65M 1001534879 | BPH/LUTS: LUTS noctura 0-1. TURP 6/8/23 TURP, path 4.9g. 8/30/23 RUG/Urethral Dilation for Fossa Navicularis Stricture. 11/22/23 ED visit for gross hematuria. CTU prostate size 57cc. 1/4/23 Cysto for gross hematuria noting return of fossa stricture requiring dilation and bilobar hyperplasia with significant intravesical median lobe. Although he was noted to have an open bladder neck. Uroflow nondiagnostic, PVR 0mL. 10/26/23 PSA 3.5, MRI prostate 2/9/23 PIRADS 3 lesion. MEDS TO HOLD: PLAVIX and XARELTO | TURP vs TUIP | PMHx: DM (A1c:6.8) PAD, HTN, HepC, alc abuse,Tobacco use, dyspgia PSHx: TURP, Dilation, femoral artery endarterectomy w/ iliac stent placement Cr: 0.91 UCx: 1/6/23 E.coli BMI: 21.24 Clearance: Has Cards 1/8/24 | 11/22/23 CTU | ||||||||||||||||||||||||||||||||||||||||||||
36 | Leinwand | VA | Gutierrez, Ignacio 30M x0616 | Phimosis. Difficulty retracting foreskin despite topical ointments. Not a diabetic (A1c 5.6). Not on AC. | Circumcision | PMHx: steatosis, OSA, GERD, obesity, schizophrenia PSHx: none Cr: 1.2 UCx: n/a BMI: 43 Anes: Needs Clearance: none | None | ||||||||||||||||||||||||||||||||||||||||||||
37 | Caso | Touro | Singletary, Shawn 47M 1000008618 | SCC of penis. Underwent buried penis repair 3/29/22. MRI 3/30/23 ulcerated lesion with no lymphadenopathy. 8/23/23 underwent penile biopsy and scrotoplasty. Path Verrucous carcinoma, referred to dermatology. Dermatology recommended penectomy. Underwent partial penectomy 12/5/23. Path: Squamous cell carcinoma, pT2, invasive to corpus spongiosum. Can't afford PET, CT scheduled 2/2. | Robotic b/l lymphadenectomy | PMHx: OSA, Obesity, Buried penis, lichen sclerosus, penile cancer, BPH PSHx: Gastric sleeve, buried penis repair, penile bx, partial penectomy Cr: 0.7 UCx: n/a BMI: 41 Clearance: | MRI pelvis (3/30/23) | ||||||||||||||||||||||||||||||||||||||||||||
38 | Thomas | VA | Jeandron, Gerald 82M x1679 | Nephrolithiasis: Admitted 9/7/23 for bilateral PEs. CT abd/pelvis during admission noted bilateral nephrolithiasis. Outpatient referral for Hx of LUTs, bilateral nephrolithiasis, and recurrent UTIs. Poor historian. 11/20/23 Cystoscopy noted L lateral lobe hypertrophy likely from prior TURP. 12/7/23 ED visit for hematuria, UCx positive for E. faecalis. CT abd/pelvis L1.8cm lower pole, renal pelvis stone extending into the proximal ureter (688 HU, SSD: 12.56cm), R 5mm lower pole (430 HU, SSD: 12.4cm). Meds to Hold: Apixaban | L URS/HLL/SBE | PMHx: BPH, PE, Nephrolithiasis, UTI, Rectal Cancer (resection, chemoradiation, CKD3, T2DM (A1c: 6.3 8/4/23), HTN, PSHx: lap converted to open low anterior resection (pT1pN0), debridement of bilateral thighs with split-thickness skin graft Cr: 1.5 UCx: 1/31/24 No Growth BMI: 25.82 Clearance: Has Anes, Heme/Onc | 12/7/23 CT abd/pelvis wo | ||||||||||||||||||||||||||||||||||||||||||||
39 | Leinwand | VA | Foster, Carl 63M x5360 | BPH/LUTS. Refractory to Flomax. Cysto 11/29/23 with trilobar hyperplasia w/ significant median lobe with intravesical protrusion. PVR 152, Qmax 8. PSA 14, negative Bx 2018. pMRI 10/2023 PIRADS 2, 194 cc gland. Started on finasteride 1/2024. Had recent bout of painless GH last month, needs CTU. Previously cancelled due to COVID. Not on AC. | RASP | PMHx: GERD, BPH, cervical radiculopathy, MDD PSHx: LHC, sinus sx Cr: 1.2 UCx: Needs BMI: 30 Anes: Needs Clearance: none | pMRI (10/18/23) | ||||||||||||||||||||||||||||||||||||||||||||
40 | Caso (McBroom) | UMC | Thibodeaux, Harold 65M 1002131510 | Bladder cancer. Large amount of tumor burden, > 5cm along right trigone extending to dome. Unable to identify R UO. S/p TURBT 2/6/24, path muscle invasive. CT with R hydroureteronephrosis down to bladder, bladder wall thickening with calcifications, bladder wall thickening. Smoker. On Cilostazol | Cystectomy | PMHx: Hypothyroidism, anxiety, HTN, GERD, PVD, Psoriasis PSHx: Cataract, rhinoplasty Cr: 1.37 UCx: needs, negative UA 1/29 PSA: 0.58 BMI: 30 Clearance: None | CTAP (1/11/24) | ||||||||||||||||||||||||||||||||||||||||||||
41 | Thomas | Touro | Taylor, Patricia 68F 1003809905 | Left renal calculi. CTap 11/10/22 showed multiple calculi in staghorn configuration in left kidney (largest dimension 2.5cm, HU 1757, SSD 8.7cm). Underwent left URS and stent placement 7/21/23. Had stent removed in clinic 2/15/24. | L PCNL | PMHx: HTN, anxiety, COPD, pulmonary nodule PSHx: C/S, cystolitholapaxy Cr: 0.7 (needs updated) UCx: >100k ESBL Klebsiella 2/17 BMI: 27.1 Clearance: has medical 1/23 | CTap 1/30/23 (Epic) | ||||||||||||||||||||||||||||||||||||||||||||
42 | Thomas | Touro | Bell, Clyde 68M 1000363221 | Nephrolithiasis. Presented to TUMC 10/8/23 with R flank pain and found to have a 11mm R UPJ stone w/ obstruction and L staghorn calculus. Underwent R URS/HLL with Dr. Jenkins 10/25/23. 100% uric acid stone. 12/1/23 Uric acid 6.7. 12/18/24 CT abd/pelvis 4mm R lower pole renal stone and L staghorn calculus vs 6 stones in interpolar and lower pole (Largest 2cm, 450 HU, SSD 10.24cm). | L PCNL | PMHx: HTN, HLD, anxiety, migraines, LBP, complete heart block s/p pacemaker PSHx: pacemaker, knee surgery, shoulder surgery, R URS/HLL 10/2023 Cr: 1.25 UCx: needs BMI: 28.4 Clearance: has cards 2/9 | CTap 1/18/24 (ZFP) | HU <500, pH <5.5 for uric acid stones. | |||||||||||||||||||||||||||||||||||||||||||
43 | Krane | VA | Spencer, Norwood x5568 | Adrenal nodule. MOVED TO 4/17 Referred by endocrine. Has L adrenal adenoma and primary hyperaldosteronism. HTN since early 30's (on two meds). Adrenal vein sampling show elevated aldonsterone & cortisol on left, right vein unable to be canulated x2. CT shows 1.3 cm adrenal nodule. Endocrine requests pre op & intraop consult. On Eliquis | L robotic adrenalectomy | PMHx: HTN, HLD, migraine, DM, Afib, OSA (CPAP) PSHx: Heart ablation (2010 & 2021) A1c: 6.0 Cr: 1.9 UCx: n/a BMI: 39 Anes: Needs Clearance: Needs cardiac/medicine, PCP messaged | CTAP (7/26/23) | ||||||||||||||||||||||||||||||||||||||||||||
44 | Leinwand | VA | Crump, Malvin x4568 | B/l hydroceles. First noticed 3 months ago, R > L. Mild localized pain somewhat improved with antibiotics. US confirms b/l hydroceles R > L, no testicular abnormalities. On Colostazol & Plavix (MOVED?) | b/l hydrocelectomy | PMHx: HTN, CAD, PAD, HLD PSHx: CABG, PCI Cr: 1.9 UCx: n/a BMI: 24 Anes: LOOK Clearance: LOOK FOR cardiac | Scrotal US (12/1/23) | ||||||||||||||||||||||||||||||||||||||||||||
45 | Wang | VA | Gardiner, Walter 52M x1541 | Ureteral calculus. Presented to OSH 2/26 with n/v & flank pain. CT wuth 6 mm calculus in R distal ureter w/o hydro. POSTPONED? | R URS/HLL/SBE | PMHx: OSA (CPAP), CAD, GERD, HG PSHx: umbilca hernia, b/l IHR, R epididymectomy Cr: 1.4 pH: 6.5 UCx: needs BMI: 31.28 Anes: Clearance: | |||||||||||||||||||||||||||||||||||||||||||||
46 | Thomas | UMC | Crooks, Leonard 54M 1001665590 | SpaceOAR & fiducial markers | PMHx: PSHx: Cr: UCx: BMI: Clearance: | ||||||||||||||||||||||||||||||||||||||||||||||
47 | Wang | VA | Gibson, Roy 68M x5424 | RCC: Incidentally identified renal masses since 2019 on surveillance. Initially referred to Urology for anejaculation. 2/15/24 MRI notes L endophytic internal enhancement 2.5x2.3cm and 4.8cm Bosniak 2F cyst, R 2.2x2.3 Bosniak 2F cyst and bladder wall thickening. 2/23/24 CTA chest <1cm stable lung nodules. 2/23/24 CT Head neg for metastasis. Meds to hold: Ticagrelor (no longer takes) | L RAPN | PMHx:Schizo-AffectiveBPH, NSTEMI, Substance abuse (tobacco, cocaine), HTN PSHx: Dental, scalp soft mass excision Cr: 1.2 UCx: Needs BMI: 22.74 Clearance: Needs Cardiac (completed Echo), Anes | 2/15/24 MRI, CEEVRA submitted | ||||||||||||||||||||||||||||||||||||||||||||
48 | Thomas | VA | Matthews, Theodore 74M x8692 | BPH/LUTS. On flomax. Stopped taking trospium due to noting no effect. Nocturia 5-6x, intermittent strong stream. Had several episodes of UTI (most recently 2/26 enterobacter cloacae) with improvement in symptoms after last abx course. PVR 250cc 3/11/24, 135cc after second void. CT pelvis 12/2023 showing thickened urinary bladder with 70cc gland noted. Underwent surveillance cystoscopy with bladder biopsy 1/9/24 for HG UCC with Dr. Thomas, which showed high riding median bar with moderate lateral lobe hyperplasia. Path was negative for malignancy. | TURP, surveillance cystoscopy | PMHx: HTN, HLD, CAD s/p PCI x2 2019 on plavix, DM (A1c 6.0 9/2023), COPD, chronic HBV, fatty liver disease, HG UCC, GERD, large cell lymphoma s/p chemo PSHx: chole, hernia repair x2, BL hydrocelectomy, TURBT x2 2020, lung biopsy 3/2024 Cr: 0.7 UCx: NG 3/13 BMI: 18.9 Clearance: has anes 4/9, has pulm 3/13, has cards 12/26/23 and 3/12 to hold plavix | CT pelvis 12/19/2023 | UCC HG T1 6/16/2020, TURBT 7/14/2020 ulcerated urothelial mucosa, no malignancy. Finished maintenance #2 4/2021 BCG, did not finish due to wife having cancer. Focus of air from prior periprostatic abscess raising concern for colovesicular fistulization noted on CT pelvis. Recently took cipro for sigmodiverticular abscess. PSA 1.72 8/29/2016. UT imaging 9/2024. Hx bulbar urethral stricture, none on cysto. Left orange hydrocele. Hx foley 1/2024 for retention. | |||||||||||||||||||||||||||||||||||||||||||
49 | Hellstrom | Touro | Burton, Erniesto 63M 1002306030 | History of hidradenitis suppurativa followed by Dr. Chaffin for affected groin area. Has had multiple excisions of cysts/scrotal wall since 2018 with Dr. Rowan at North Oaks. Has had chronic HS infections to groin and pubic area as well as inner thighs which he finds bothersome. Seen by Dr. Chaffin 2/6/24 who is seeking urology assistance for additional resection in OR for preservation of male genitalia and subtotal scrotal resection. Thigh pock placement will be difficult due to fibrous. Will require extensive wound care postoperatively. Previously scheduled for scrotal skin excision and possible bilateral thigh pouches 3/2024. | Concealed penis release | PMHx: HTN, hidradenitis, OSA on CPAP, former tobacco, PUD, HLD, anemia, OA PSHx: Cr: 0.76 UCx: n/a BMI: 34.4 Clearance: | None | Follows with Dr. Graham at North Oaks for PCa. EBRT 6/2023, PSA 0 as of 11/2023. On lupron (plan 2 years). Followed by med/oncology Dr Elson at Mary Bird Cancer Center in Hammond, LA. | |||||||||||||||||||||||||||||||||||||||||||
50 | Wang | VA | Casborn, Abraham 73M x8286 | Adrenal nodule. Referred from endocrine. HTN resistent to medication & evidence of hypercortisolism. MRI shows a 2.7 cm left adrenal nodule. On Trulicity & cilostazol | L robotic adrenalectomy | PMHx: CaP (XRT & ADT), HTN, DMII, HfpEF, HLD, obesity, PVD, COPD, OSA PSHx: RARP, shoulder sx, appy, cataracts Cr: 2.1 PSA: <0.01 UCx: n/a A1c: 6.1 BMI: 40 Anes: scheduled 4/30 Clearance: needs cards, scheduled angiogram 4/22, cancelled due to glucose in 500's | MRI (10/4/23) Ceevra | ||||||||||||||||||||||||||||||||||||||||||||
51 | Thomas | VA | Thomas, Benjamin 82M x3829 | Urinary retention. On flomax. Started on CIC 2/2021. Had urinary retention and UTI at Ochsner Kenner 2022, foley catheter was placed. Switched back to CIC. Had foley placed 9/2022 due to seizure. Cysto 1/22/24 showed circumferential extension of prostate into bladder, no bilateral lobe enlargement. CTap 10/2023 shows 78g gland. | TURP | PMHx: PSHx: Cr: 1.4 UCx: needs BMI: 17.9 Clearance: for anes 5/7, on warfarin, has coumadin clinic clearance but need to give specific instrctions | CT pelvis 10/24/23 | PSA 22.62 as of 6/2022. | |||||||||||||||||||||||||||||||||||||||||||
52 | Wang | VA | Weber, Ronald 71M x7527 | BPH/LUTS. Nocturia q2h, weak stream. IPSS 21. Cysto 5/8 showed significant lateral lobe hyperplasia with intravesical protrusion, 2 cm prostatic urethral length. Qmax 9, Qavg 6, PVR 57. PSA 1.01. On ASA81 | TURP | PMHx: HG, HTN, CAD, HLD PSHx: Cr: 1.07 UCx: NG 5/8 BMI: 32 Anes: Scheduled 5/17 Clearance: none | Needs CT, 5/9 appt cancelled | ||||||||||||||||||||||||||||||||||||||||||||
53 | Thomas | EJGH | Miller, Caren 78F 1002956572 | Nephrolithiasis. Recurrent UTI's, found to have nonobstructing 8 mm stone in left upper pole calyceal diverticulum, no hydronephrosis. Also with duplicated R collecting system with possible unification just proximal to UVJ. S/p recent negative bladder bx with Dr Labadie. HFU 490, SSD 14. On Xarelto, scheduled for cardiac ablation 6/11 | L URS, nephroscopy, HLL | PMHx: afib, a flutter, uterine ca, NGB PSHx: Interstim, TAH BSO, chole, bladder suspension, gastric sleeve Cr: 0.85 pH: 5.0 UA: 6.2 UCx: E coli >100k CFU 5/30 BMI: 34 A1c: 5.2 Clearance: needs cards, has cards for EGD 5/20 | CTU (11/22/23) | ||||||||||||||||||||||||||||||||||||||||||||
54 | Jenkins | EJGH | Perkins, Marque 40M 1004835908 | IPP malfunction. Hx of ischemic priapism s/p distal shunt 3/2019 (Dr. Bridges) now with subsequent ED. S/p 3 piece IPP 6/2020 (AMS, 18+4 on left, 18+3 on right, 65cc in reservoir, noted to have scarred corpora. Revised 9/2020, leak noted in connection tubing to reservoir and was malfunctioning and was replaced. Pt now complains of autoinflation as well as some discomfort in glans when using. Noted GH occasionally. Normal cysto 4/23. CTU normal, reservoir not in correct position & deflated on left side. On Mounjaro | IPP revision & glanspexy | PMHx: pre-DM, morbid obesity, HTN, ED PSHx: IPP, circumcision, distal shunt Cr: 1.09 UCx: NG 5/23 BMI: 59 Clearance: none | CT (4/22/24) | ||||||||||||||||||||||||||||||||||||||||||||
55 | Jenkins (Thomas) | UMC | Buggage, Derek 45M 1000358844 | L Epididymal Cyst: L testicular cyst for 25 years slowly growing and now painful. No palp varicocole, 20-25mL epiddiymal cyst. Spermatocele transilluminates. | L Epidiymal cyst excision | PMHx: PSHx: Cr: UCx: BMI: Clearance: | |||||||||||||||||||||||||||||||||||||||||||||
56 | Jenkins | EJGH | Matute, Sonia 63F 1000486948 | Nephrolithiasis. Hx of recurrent UTIs. CT showed b/l urolithiasis with severe dilation with a R collecting system. An 8.3 mm UPJ stone along with nonobstructing stones in bilateral lower poles of each kidney. URS 6/22 showed severely impacted stone s/p HLL/stent placement. Scheduled for 2nd look URS. HFU 1150 (1280 lower pole), SSD 12 | R URS/HLL/SBE | PMHx: asthma, HTN PSHx: tubal ligation Cr: 0.72 UCx: NG 5/7, neg UA 6/21 BMI: 31 Clearance: none | CT (6/21/24) Fluoro (6/22/24) RBUS (6/19/24) | ||||||||||||||||||||||||||||||||||||||||||||
57 | Thomas | UMC | Motto, Gregory 51M 1002976049 | Nephrolithiasis. Recently underwent ex lap with tumor debulking for neuroendocrine tumor. Post op CT he was incidentally found to have a 2 cm calculus in his L renal pelvis, mild hydro, additional 10 mm & 4 mm stone in lower pole. Asymptomatic. HFU 830, SSD 13.9. Needs Octeotride protocol (avoid epinepherine) for surgery. | L PCNL | PMHx: Afib, neuroendocrine tumor (carcinoid), GERD, HTN, HLD, DMII PSHx: hemicolectomy, cystolithotripsy, umbilical hernia, liver resection, ex lap A1c: 5.3 Cr: 1.13 pH: 7.0 UCx: NUGF 90K 6/3 BMI: 41 Clearance: Has endocrine surgery clearance, needs cards | CT (4/9/24) | ||||||||||||||||||||||||||||||||||||||||||||
58 | Leinwand | VA | Alexander, Nelson 77M x0126 | Hydrocele. Hx of BPH/LUTS and epididymoorchitis treated with Abx though still complains of pain on left. US shows a large left hydrocele the size of a peach, normal testes. Normal cysto. On Eliquis | L Hyrocelectomy | PMHx: HLD, DM, HTN, PE PSHx: (median lobe, bening lesion resection) TURP, hemmroidectomy, cataract PSA: 1.08 (2019) A1c: 6.1 Cr: 1.1 UCx: n/a BMI: 32 Anes: Scheduled 7/9 Clearance: needs cards/pulm | US (6/21/24) | ||||||||||||||||||||||||||||||||||||||||||||
59 | Leinwand | VA | Pettis, Charles 77M x5556 | BPH: recurrent Klebsiella UTIs, notes minimum symptoms on Flomax, also to stop medication. on Tamsulosin. 5/16/24 CT abd/pelvis w/o stones, 70cc. 5/31/24 Cysto with Bilobar hyperplasia. Uroflow: VV 270mL, Qmax: 14 mL/s, PVR 29 mL. PSA: 2.75 Meds to Hold: Dabigatran | TURP | PMHx: TAA, Barrett's Esophagus, CVA, Tobacco use, HepC, COPD PSHx: AV replacement, Circ Cr: 1.2 UCx: <10K GNR BMI: 24.12 Clearance: Needs Anes, Has Cards | 5/16/24 CT abd/pelvis (VA) | ||||||||||||||||||||||||||||||||||||||||||||
60 | Jenkins | VA | Whitt, Willard 77M x7379 | To be seen in clinic today. | IPP | PMHx: CAD, HTN, Afib on eliquis, PCa, OSA, cardiac pacemaker, fatty liver, PTSD PSHx: unclear Cr: 0.9 UCx: needs BMI: 31.0 Clearance: needs anes consult and booking, needs CC cards to hold eliquis | PSA undetectable 5/2024. A1c 6.2 on 5/2024. | ||||||||||||||||||||||||||||||||||||||||||||
61 | Jenkins | VA | Clayton, Edward 74M x3817 | ED. Patient is s/p RARP 2016, s/p XRT 2017. Has since had poor erections. Patient has been using viagra 100mg PRN, which he finds ineffective. Failed edex with poor results. He is interested in IPP. Recently underwent cysto fulguration and clot evac 7/15 likely due to radiation cystitis. | 3-piece IPP | PMHx: DM (A1c 6.9), pulmonary emphysema, PVD on plavix, HepC, HTN, SUD, PCa s/p RARP 2016 s/p XRT, COPD, former smoker, Afib, HLD PSHx: RARP, R iliac stent, R CFA bypass, R CFA endarterectomy Cr: 0.9 UCx: NG 6/30 BMI: 28.6 Clearance: for anes 7/22, has anes 7/15, has cards to hold plavix 3/2024 | CTU 6/5/24 (VA) | RARP with Silberstein 10/2016, path pT3aN0M0R1, small areas of margin involved, gleason 3+4. Adjuvant XRT 2017 for PSA 0.21. Eligard 2017. PSA undetectable. | |||||||||||||||||||||||||||||||||||||||||||
62 | Krane | VA | Bartley, Richard 75M x2181 | Prostate cancer. Gleason 3+3 diagnosed in 2019 2/14 cores). PSA 7.15, pMRI from 2/2024 with a 101 g gland, PIRADS 5 left PZ. Takes Flomax BID. Trialed on PDE5i without improvment for ED, not interested in other therapies. | TP Bx | PMHx: nephrolithiasis, AAA, HTN, memory loss, HLD, CAD, pre-DM, OSA (CPAP), PTSD PSHx: AAA repair, ESWL, tonsillectomy Cr: 1.0 UCx: n/a A1c: 6.1 BMI: 38 Anes: Needs Clearance: none | pMRI (2/28/24) | ||||||||||||||||||||||||||||||||||||||||||||
63 | Leinwand | VA | Jenkins, Carl 66M x2044 | BPH/LUTS. Multiple retention episodes 5/2024 associated with UTI, GH. Failed flomax. Cysto 7/26/24 with significant ball-valve median lobe, bilateral lobe hyperplasia, mild trabeculations, 4cm. Uroflow VV 158cc, Qmax 12ml/s, PVR 18cc. CTU 7/29/24 negative, prostate size 52.1cc. ASA81 | TURP | PMHx: HTN, HLD, OSA (CPAP), CKD3, CVA (residual difficulty swallowing), DM, GERD, PTSD, Bipolar PSHx: Left knee, hand sx Cr: 1.1 UCx: needs BMI: 29.9 A1c: 6.9 Clearance: needs Anes: pending cards | CTU 7/29/24 (VA) | ||||||||||||||||||||||||||||||||||||||||||||
64 | Krane | VA | Lane, Patrick 49M x4412 | Elevated PSA. Denies fhx. PSA 6.86. MRI with 41g prostate. PSAd 0.11. PIRADS3 L mid medial PZ. | TP bx | PMHx: HTN, CKD, OSA, ED PSHx: none Cr: 1.2 UCx: n/a BMI: A1c: 5.9 Clearance: Anes: needs | MRI prostate 7/26/23 | ||||||||||||||||||||||||||||||||||||||||||||
65 | Thomas (Vallee) | EJGH | Phillips, Jonathan 41M 1004903778 | Left staghorn. Pt presented to outside urologist with MH. Cysto negative. CT with large staghorn calculus nearly completely filling left renal collecting system. OSH unable to accomodate pt surgery given pt's BMI (SSD 15.2, HU 550). Will undergo IR placement of PCN same day. Mounjaro | Cysto, L RGP, L PCNL | PMHx: Nephrolithiasis, Morbid obesity, HLD, MH, DM, congenital heart defect PSHx: Cardiac valve Cr: UCx: needs A1c: BMI: Clearance: | CT 6/14/24 (Epic) | Has large right gluteal intramuscular lipoma | |||||||||||||||||||||||||||||||||||||||||||
66 | Thomas | UMC | Dominguez, Maria 39F 1004902564 | R Staghorn calculus. Hx of nephrolithiasis s/p URS 2008 in Mexico. Seen in clinic 10/31 s/p R PCN at Oschner. Given fluid shortage will plan for R antegrade nephrostogram w/ possible R robotic pyelolithotomy. CT with R staghorn and proximal ureteronephrosis (SSD 10.1cn , HU 1147) | R PCNL | PMHx: Nephrolithiasis PSHx: URS Cr: 0.78 UCx: 20K acinetobacter BMI: 33.3 Clearance: none | CT 9/29/24 (Epic) | pt leaving for mexico in jan so rush to get procedure done prior as she doesnt want pcn anymore | |||||||||||||||||||||||||||||||||||||||||||
67 | Benson | UMC | Henne, Carroll 65M 1001948362 | Retention/LUTS. Initially s/p hernia repair. Refractory to flomax. Failed mutliple trial of voids. Cysto 11/21 with b/l hyperplasia with moderate outlet obstruction, 2-3cm length. Foley removed and pt taught CIC. 45.9cc gland on imaging | Urolift | PMHx: LUTS, psoriasis, HLD, melanoma of eye PSHx: IHR Cr: UCx: NG 11/21 BMI: 22.1 A1c: 5.7 PSA: 4.2 Clearance: none | MRI prostate 7/2022 (Epic) | negative bx 8/2022 - chronic prostatitis | |||||||||||||||||||||||||||||||||||||||||||
68 | Jenkins | EJGH | Perry, Mark 62M 1003591422 | Peyronie's disease. Last seen in clinic 10/11/24. 54 degree L curvature, stable for 11 months, normal erectile rigidity with prn tadalafil. Curvature makes penetration difficult with pain to partner. Exam with mid-distal dorsal plaque with segment that extends on the left side at mid shaft and continues from mid to prox ventral shaft. | Penile plication | PMHx: hypogonadism PSHx: none Cr: 1.1 UCx: n/a BMI: 31.5 A1c: 5.7 PSA: 0.7 Clearance: none | none | ||||||||||||||||||||||||||||||||||||||||||||
69 | Jenkins (Bridges) | EJGH | Lewis, Clifford 68M 1004747614 | IPP malfunction. Hx of IPP 7/6/2015 (Coloplast Tital 20 +3 Rt, 20 +2 Lt, 125cc reservoir L space of retzius (90cc). Also hx of PCa s/p RARP 12/2021. Reports migration of right cylinder causing pain, split stream. On exam, Rt cylinder appears protruding into distal urethra, no visible erosion. 15 degree L curve, coloplant titan touch pump. Eliquis | IPP Revision (Coloplast) | PMHx: PCa, ED, OAB, Afib, HTN PSHx: IPP, RARP Cr: pending UCx: needs BMI: 29.7 A1c: PSA: <0.01 Clearance: needs | none | ||||||||||||||||||||||||||||||||||||||||||||
70 | Thomas | EJGH | Eyzaguirre, Gilberto 79M 1002278220 | BPH/LUTS. Nocturia 2-3x, fq. On dutasteride/flomax. Prior neg bx 2009. Cysto 12/2023 with trilobar enlargement and significant median lobe, wide bore stricture distal to sphincter, easily passable. DRE with 60g prostate | Cysto, TULVP vs. TURP | PMHx: BPH/LUTS, GH, nephrolithiasis, PD, HLD, palpitations PSHx: Appendectomy, cataracts Cr: 1.5 UCx: NG 12/26 BMI: 27.8 A1c: 5.6 Clearance: Has 11/11/24 | none | presented previously | |||||||||||||||||||||||||||||||||||||||||||
71 | Jenkins | VA | Swanzy, Donald 69M x1341 | ED. Refractory to Viagra. Not interested in ICI. Penile stretch length 7.5cm. Xarelto, Ozempic | IPP (Coloplast) | PMHx: HTN, HLD, HFpEF, Afib, CAD, T2DM, OSA PSHx: none Cr: 1.3 UCx: NG 1/29 BMI: A1c: 5.8 PSA: 0.7 Anes: pending ortho Clearance: Has 12/23/24 | none | xarelto 2 days | |||||||||||||||||||||||||||||||||||||||||||
72 | Jenkins | VA | Wiley, Charles 65M x3156 | ED, SUI. Hx of PCa (3+4) s/p RARP 7/2021. 5-6PPD, using cunningham clamp. Cysto 7/17/24 with bullous edema of anterior urethra, no stricture, good coaptation of external sphincter. | IPP, AUS, Circumcision (BS) | PMHx: PSHx: Cr: UCx: 2/9 proteus, entero (cipro) BMI: A1c: 9.1 PSA: Anes: Clearance: | none | metformin | |||||||||||||||||||||||||||||||||||||||||||
73 | Thomas | VA | Bright, Ray 69M x7310 | BPH/LUTS, bladder stone, stricture. On cialis, flomax. Nocturia 3-4x, urgency. Cysto 3/25/24 with median lobe, bilateral lobe enlargement, bulbar urethral stricture (12fr) passively dilated to 16Fr with scope. Uroflow with VV: 165, qMax: 17, PVR 0cc. Prostate size 56.8cc | Optilume poss cystolithothripsy, DVIU, RUG, TURP | PMHx: DM, USD, BPH/LUTS, goiter PSHx: shoulder Cr: 0.9 UCx: needs BMI: 28.1 A1c: 6.6 PSA: 4.54 Anes: Has 2/11 Clearance: none | MRI prostate 11/1/23 (VA) | metformin, wanting PAE with IR. neg GH workup | |||||||||||||||||||||||||||||||||||||||||||
74 | Caso | EJGH | Carter, Frenchie 73F 1002251139 | Bladder mass. Presented to ED 1/30 for retention, AKI, pyelonephritis. No FHx, Tobacco, exposure hx. CT obtained at the time with 4x5cm R anterolateral bladder mass. CTU/CT Chest ordered. Cytology negative for HG | TURBT, b/l RGP | PMHx: CHF, DM, CKD, HTN, HLD PSHx: Hysterectomy, cataract Cr: 2.34 UCx: Contaminated 2/12 BMI: 25.8 A1c: 6.9 Clearance: none | CT 1/30/25 (Epic) | ||||||||||||||||||||||||||||||||||||||||||||
75 | Azad | UMC | Taylor, Ashley 39F 1000513617 | B/l stones. Hx of stones. Prior CT 3/3 with 7mm R UVJ stone, discharged on MET. Presented to ED 3/10, repeat CT showing distal stone passed into bladder, b/l nonobs stones (SSD, HU). | B/l URS/LL | PMHx: Nephrolithiasis PSHx: None Cr: 0.68 UCx: 3/10 NUGF BMI: 39.3 Clearance: None | CT 3/10/25 (Epic) | ||||||||||||||||||||||||||||||||||||||||||||
76 | Hellstrom | EJGH | Robinson, Frank 70M 1000300544 | Urethral stricture. Hx of Pca s/p brachytherapy, LUTS s/p TULVP, Urolift. Cysto 2023 with bulbar urethral strictrure and BNC, dilated with scope. Repeat cysto/RUG/VCUG 4/16 with multiple narrowing throughout penile urethra, pinpoint short segment <1cm bulbar stricture (6Fr) | Cysto, RUG, poss DVIU/Optilume | PMHx: HTN, Vasculitis, HepC, OA, Cataract, GSW PSHx: Ex lap, IPP, MPP, Urolift Cr: 1.04 UCx: 4/16 NG BMI: 30.4 A1c: 5.8 PSA: 0.3 Clearance: None | None | ||||||||||||||||||||||||||||||||||||||||||||
77 | Thomas | EJGH | Quigley, Stephanie 46F 1004169399 | R renal calc. Presented to ED 6/11 with abdominal pain. CT with 5x7mm proximal R ureteral calc (SSD, HU). Undewent R ureteral stent placement in clinic 6/12 | R ESWL | PMHx: CAD, HTN, GERD, HLD, GERD PSHx: CABG Cr: 0.78 UCx: needs BMI: 23.2 A1c: 5.6 Clearance: needs | CTAP 6/11 (Epic) | ||||||||||||||||||||||||||||||||||||||||||||
78 | Leinwand | VA | Lamothe, Erick 74M x3537 | BPH: Hx of nephroltihasis, drinks >2L to avoid stone formation. Weak stream, nocturia x10, hesitancy. On flomax and trospium. Cysto 4/18/25 significant bilobar L>R asymetrical hyperplasia and median lobe intravesical protrusion. pMRI 02/2024 showing 81g prostate and PIRADs 3 lesion. PSA 8.55. A1c 5.9 | TURP | PMHx: Cervical spinal stenosis, sickle cell, HTN, diverticulosis, Herpes TII, Hep C, Syphillis PSHx: R URS/HLL/SBE, L ankle ORIF Cr: 1.1 UCx: needs BMI: 28.5 Clearance: none | pMRI 02/2024, CTU 05/2024 | ||||||||||||||||||||||||||||||||||||||||||||
79 | Leinwand | VA | Smith, Calvin 78 x2758 | Phimosis: Hx of phimosis with cracking of foreskin on retraction over the glans. Tight on exam. A1c 7.0. | Circumcision | PMHx: BPH, MDD, ED, TIIDM, HLD, Anemia PSHx: Cataracts, glaucoma valve Cr: 2.0 UCx: n/a BMI: 30.72 Clearance: None | None | ||||||||||||||||||||||||||||||||||||||||||||
80 | Caso | UMC | Knight, David 51M 1003506501 | Prostate cancer. Elevated PSA 5/2025 of 14.29, repeat 7/2025 of 24.8. pMRI with 44cc gland, PSAD 0.57, PIRADS 5 in L midpost tz/cz with L SVI, 3xPIRADS 4 in L mid ant pz, R mid ant pz, R apical med pz. Bx 8/18/25 w/ 1 core 4+5; 6 cores 4+4 with PNI, invasive cribriform, intraductal; 18/24 cores+. PSMA with no mets/LN avidity. AUASS 27(4), mild LUTS on flomax. SHIM 15, 6/10 erections. HgbA1c 10/2023 5.9%. | RARP | PMHx: HTN PSHx: wrist, knee Cr: 1.52 UCx: collected, pending BMI: 36.8 Clearance: N/A | pMRI 7/29/25 PSMA 8/22/25 | 3xPIRADS 4 in L mid ant pz, R mid ant pz, R apical med pz | |||||||||||||||||||||||||||||||||||||||||||
81 | Caso | UMC | Marquina, Frank 37M 1004935100 | Urachcal reminant: Pt presented to the ED 01/2025 for LUTS. Patient continued to have LUTS. Patient elected to initially undergo surviellence but now would like surgery. | Robotic urachal reminant removal | PMHx: None PSHx: None Cr: 0.83 UCx: needs BMI: 39.5 Clearance: None | MR Urography 6/30/25 | ||||||||||||||||||||||||||||||||||||||||||||
82 | Caso | EJGH | Nicolle, Francis 53M 1000295435 | Big tumor thormbus > sent to med onc | R RARN | PMHx: Tobacco use, DM (a1c 6.1), HTN, HLD, OSA, hypogonadism PSHx: Cr: 1.16 UCx: n/a BMI: 33.8 Clearance: none | |||||||||||||||||||||||||||||||||||||||||||||
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