Flexible Cystoscopy (male)
Urologist
1 November 2024
Indication: Haematuria and recurrent urinary tract infections.
Consent: The patient was informed about the risks of infection, pain or discomfort, and haematuria.
Findings:
External genitalia: Normal appearance.
Urethra: No strictures or abnormalities noted.
Prostate: Enlarged, with no obvious signs of malignancy.
Bladder mucosa: Mild inflammation noted in the bladder base.
Ureteric orifices: Bilateral ureteric orifices were visualised and appeared normal.
Plan:
Patient to commence a course of antibiotics for the urinary tract infection. Further investigation with a CT urogram is planned to rule out any underlying pathology. Follow-up appointment scheduled in 6 weeks.
[Indication] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
Consent: (Infection, pain or discomfort, haematuria) (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
Findings:
[External genitalia] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
[Urethra] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
[Prostate] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
[Bladder mucosa] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
[Ureteric orifices] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
Plan:
[Management plan including follow-up, further investigations or treatment recommendations] (Only include if explicitly mentioned in transcript, contextual notes or clinical note; otherwise omit completely.)
(For each section, only include if explicitly mentioned in transcript or contextual notes, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)