Glomerulation

PREOPERATIVE DIAGNOSES: 1. Interstitial cystitis. 2. Urethral stenosis. POSTOPERATIVE DIAGNOSES: 1. Interstitial cystitis. 2. Urethral stenosis. Procedures: 1. Cystoscopy. 2. Urethral dilation and hydrosilation. Description of Procedure: Urethra was tight at 26-French and dilated at 32-French. The bladder neck is normal. The ureteral orifice is normal size, shape, and position, effluxing clear bilaterally. The bladder mucosa is normal. Bladder capacity is 700 mL under anesthesia. There is moderate glomerulation consistent with interstitial cystitis at the end of hydrosilation. Residual urine was 150 mL. The patient was brought to the cystoscopy suite and placed on the table in the lithotomy position. The patient was prepped and draped in the usual sterile fashion. A 21 Olympus cystoscope was inserted and the bladder was viewed with 12- and 70-degree lenses. The bladder was filled by gravity to capacity, emptied, and again cystoscopy was performed with the findings as above. Urethra was then calibrated with 32-French. The patient was taken to the recovery room in stable condition