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Now it’s time to talk about the actual procedure your doctor has recommended for you.
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth
and an intravenous line may be put in. Medical Malpractice
You will then be transferred to the operating table.
Once on the table, your feet and legs will be placed in an elevated position with your knees apart.
You’ll be asked to urinate so the amount of urine remaining in the bladder can be measured.
The nurse will swab the penis with an antiseptic solution.

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Your doctor will then lift your penis upward.
A well-lubricated cystoscope is gently inserted into the urethra,
the opening at the head of the penis, and slowly guided inward.
When the cystoscope reaches the back of the penis, your doctor will pull the penis downward in order to create a straight path into the bladder.
Once the cystoscope is inside the bladder, your doctor will inject a small amount of water through the cystoscope and into the bladder. Medical Malpractice
The water serves to expand the bladder, helping your doctor to better examine the interior. It also helps by washing away any blood or remaining urine.
You may feel a sense of fullness as though you need to urinate. You’ll be encouraged to relax and not to try to retain the water in your bladder.
As the team completes it’s inspection, they’ll be looking for suspicious tissues. If they find bladder stones, your doctor may try to crush these so that they can pass out of the bladder during normal urination. medical malpractice
If the team finds a suspicious growth they will use a special grasping tool to take a sample of tissue in order to send to a laboratory for analysis.
When the inspection is complete, your doctor will remove the cystoscope and you’ll be asked to empty your bladder.
Your doctor will probably ask you to wear a temporary Foley catheter. Malpractice Medical
A Foley catheter is a narrow tube inserted through your urethra and into your bladder. The catheter is connected to a bag that is attached to your leg by a strap. While the Foley catheter is in place, urine will pass from your bladder into the bag. You will not need to urinate into a toilet.
The nurse will show you how to change the bag when it is full. An appointment will be made for you to return to the doctor’s office in a couple of days to have the catheter removed.
As soon as the anesthesia wears off and you feel comfortable, you’ll be allowed to leave.

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Then, after you’re asleep, your doctor will make a small, vertical incision in your navel.
Using a pair of small retractors, the surgeon will gently open the incision and divide the exposed tissues.
Sutures resembling a purse string are placed in the skin around the navel.
Next, a special instrument called a Hassan Trocar is inserted through the opening in the navel.
The purse string sutures are pulled, causing the skin to tighten around the instrument. This creates an airtight seal. medical malpractice
The team then connects the Trocar to a small hose …
… in order to inflate the abdomen with carbon dioxide. This serves to enlarge the internal work area and to separate the organs.
They will make three or more incisions into the abdomen, with care taken to keep the openings as small as possible.
Next, the laparoscope is carefully inserted into the Hassan Trocar. Once the laparoscope is in place, it will provide video images to allow the placement of additional instruments.
The surgeon will then locate and retract the liver to identify the gallbladder.
Next, the surgeon removes the connecting tissue in order to expose the cystic duct and the cystic artery… Medical Malpractice
Using clips, the surgical teams clamps off both the duct and artery
which are later cut to prepare the gallbladder for removal. …
Finally, any remaining tissue connecting the gallbladder to the liver is cut…
The gallbladders is moved into the laparoscopic working port
where it is taken out of the body.
Then the instruments are withdrawn…
the carbon dioxide is allowed to escape…
the muscle layers and other tissues are sewn together…
and the skin is closed with sutures or staples.
Finally, a sterile dressing is applied.

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Your doctor has recommended that you undergo a Cystoscopy. But what exactly does that mean?
The lower urinary tract allows your body to store and release urine.
It’s made up of two parts, the bladder and the urethra.
Your bladder is a hollow organ that expands as it fills with urine. Because it is made of muscular tissue, it can also contract and force urine to pass out of the body, through the urethra. Your urethra carries urine from the bladder to the outside of your body.
Your doctor feels that it is necessary to examine the interior of the urethra and bladder, to try to determine the cause of a problem that you may be having.
Medical Malpractice
Symptoms that may call for a routine Cystoscopy include:

* Persistent infection of the urinary tract
* Bladder stones
* Bleeding while urinating
* Irritation due to polyps, or
* Changes to the bladder caused by cancer.
Medical Malpractice
Cystoscopy is a simple procedure during which your doctor will insert a well-lubricated, instrument called a cystoscope through your urethra and into your bladder.
The cystoscope allows your doctor to visually inspect the interior of your bladder. It also allows your doctor to remove small pieces of tissue for later examination and even to crush small bladder stones, should any be present.
Any tissue that your doctor removes from your bladder will be sent immediately to a laboratory for analysis. Your doctor will ask the laboratory to check for any sign of cancer or other abnormality.

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After you are asleep, a horizontal incision will be made across your lower abdomen.
Your doctor will use an instrument called a retractor to pull the skin aside, exposing your abdominal muscles.
The surgeon then separates the muscles by making a vertical incision.
Another retractor is used to pull aside the muscles and hold them in place. The fibroid will now be visible. Medical Malpractice
Using a pair of forceps, your doctor will take hold of the fibroid and pull it up and away from the wall of the uterus.
Next, you doctor will cut the connection between the fibroid and the uterus.
The fibroid is then removed. Medical Malpractice
A series of stitches are used to close incisions. First, the uterine wall is closed.
Then, the muscle retractor is removed and the abdominal muscles are sewn together.
Finally, the incision in the skin is closed
and a sterile bandage is applied to the site.

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Medical Malpractice and Patient Education Company Patient ED @ 617-379-1582 INFO
Your doctor has recommended the removal of your gallbladder. But what does that actually mean?

The gallbladder is a small organ located below the liver. It’s function is to store bile used by the intestines to digest food.
Medical Malpractice
Gallstones – small calcified deposits – sometimes form and block the bile ducts which lead from the gallbladder to the intestines.

In many cases, the problem becomes so severe, that the only effective treatment is to remove the entire gallbladder.
Medical Malpractice
This is the most common reason for gallbladder surgery.

Other reasons for removing the gallbladder include chronic or severe or the growth of a tumor.

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medical malpractice and Patient Education Company
Your gynecologist has recommended that you have surgery to remove fibroid tumors from your uterus. But what does that actually mean?

The uterus is part of a woman’s reproductive system. It’s the organ that contains and protects a growing fetus during pregnancy. Medical Malpractice

Fibroids are non-cancerous tumors that grow on the inner or outer wall of the uterus. They are quite common – as many as 20% of women over 30 have them. In most cases fibroids do not cause any discomfort and are never detected.

Occasionally, however, fibroid tumors can cause problems. Complications from fibroid growth can include: Medical Malpractice

* Pressure on the urinary system.
* Pressure on the intestines.
* Interference with the reproductive system
* Or infection.

Because these tumors can grow to be very large, surgery is usually recommended in order to restore health and to protect the uterus.

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http://www.PreOp.com
Medical Malpractice and Patient Education Company Patient ED @ 617-379-1582 INFO
Your doctor has recommended that you undergo a Cystoscopy. But what does that actually mean?

The lower urinary tract allows your body to store and release urine.
It’s made up of two parts, the bladder and the urethra. Medical Malpractice

Your bladder is a hollow organ that expands as it fills with urine. Because it is made of muscular tissue, it can also contract and force urine to pass out of the body, through the urethra. Your urethra carries urine from the bladder all the way through the opening in the penis.
Medical Malpractice
Your doctor feels that it is necessary to examine the interior of the urethra and bladder, to try to determine the cause of a problem that you may be having.

Symptoms that may call for a routine Cystoscopy include:

* Persistent infection of the urinary tract
* Bladder stones
* Bleeding while urinating
* Irritation due to polyps, or
* Changes to the bladder caused by cancer.
Medical Malpractice
Cystoscopy is a simple procedure during which your doctor will insert a well-lubricated, instrument called a cystoscope through your urethra and into your bladder.

The cystoscope allows your doctor to visually inspect the interior of your bladder. It also allows your doctor to remove small pieces of tissue for later examination and even to crush small bladder stones, should any be present.
Medical Malpractice
Any tissue that your doctor removes from your bladder will be sent immediately to a laboratory for analysis. Your doctor will ask the laboratory to check for any sign of cancer or other abnormality.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

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