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Wiki Perineal Exploration

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TnRushFan

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Smyrna, TN
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Good morning,

Does anyone know how to code an open perineal exploration?

My patient was docked for a urethroplasty but they could not perform...only open exploration with the scope work.

PROCEDURES PERFORMED:
Perineal exploration.
Cystourethroscopy and urethral dilation.
Complex Foley catheter placement.

*urethroscopy

-->5 cm incision on the perineum in this area
* urethra was identified
* retractor was placed
-->Given the appearance of this tissue and the proximal extent, he was not a good candidate for a urethroplasty.

* cystoscope was reinserted
*catheter was placed
*suprapubic tube was then replaced

Thanks in advance
 
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