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Dilation of tract to place place suprapubic catheter

Date: Aug 21, 2023

Question:

"Through incision & under US guidance visualization of needle penetration of the bladder Yueh needle placed in bladder. Needle removed & urine drained. Dilating the tract was difficult despite using surgilube & serial dilators incl 6, 7, 8, 9, 10, & 12 French. This required us to resort to balloon dilation of the tract from skin to the bladder. Inflation performed 4mm balloon. Calcium within wall of bladder & thick wall of bladder a 10 French catheter was successfully placed. It was placed to facilitate upsizing & cystoscopy being performed by urology this week."

In addition to 51102 and 76942, could I report 50436 or 50437?

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