Follow up: The patient will follow up in my office in 7 to 10 days. He was given a prescription for Darvocet N 100 mg.

Preoperative Diagnosis: History of recurrent foreskin infection
Postoperative Diagnosis: Same
Procedure: Circumcision
Indications: The patient has had some evidence of recurrent foreskin infection and his
wife has had recurrent infections and her gynecologist recommended that Mr. K. undergo
circumcision. The patient presented at this time to complete that recommendation.
Procedure: The patient was taken to the Operating Room and placed in supine position.
General anesthetic was initiated. After good anesthesia was achieved the patient’s penis
was prepped and draped in the appropriate fashion. A straight hemostat was used to crush
the foreskin on the dorsal aspect first. After it had been placed for a period of time the
hemostat was released and the crushed segment was then divided. A similar action was
performed on the ventral side. This was done down to the desired site of the
circumcision. Then a #3-0 chromic suture was placed on the dorsum ventral side
connecting the cut ends of tissue. Curved hemostats were used circumferentially around
the penis on the right side to the desired length of circumcision. After the tissue was
crushed it was divided and then the excess foreskin was removed. Good hemostasis was
achieved using the Bovie and the remaining cut ends of the tissue were reapproximated
using interrupted #3-0 chromic suture. Similar action was done on the left side.
Remaining cut edges of the tissue were reapproximated using interrupted #3-0 chromic
sutures. Vaseline gauze was placed at the suture line followed by dry gauze. The patient
tolerated the procedure well. There were no complications. The patient left the Operating
Room in stable condition.

a. 54150
b. 54150–52
c. 54160
d. 54161

b. 54150–52