La. Admin. Code tit. 48 § I-2449

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-2449 - Urology

A. Nephrectomy (complete or partial removal of kidney)

1. bleeding;

2. infection;

3. injury to adjacent organs such as lung, spleen, liver, bowel, adrenal gland (if not removed);

4. incomplete removal of tumor, if present.

B. Extracorporeal Shock Wave Lithotripsy (using shock waves to break up kidney or ureteral stones)

1. bleeding in or around kidney;

2. obstruction of kidney by stone particles;

3. failure to completely fragment stone requiring repeat treatment or other form of treatment;

4. high blood pressure (transient or permanent);

5. loss of kidney.

C. Cystectomy with Urinary Diversion (removal of bladder with use of bowel to drain urine)

1. bleeding requiring blood transfusion;

2. infection;

3. injury to adjacent organs (bowel, blood vessels, nerves, etc.);

4. impotence (loss of erection functions);

5. ostomy problems (scarring, infection) which might necessitate re-operation.

D. Transurethral Prostatectomy (use of lighted scope and cautery to internally remove portion of prostate causing blockage)

1. bleeding requiring transfusion or re-operation;

2. infection;

3. injury to bladder or urethra or rectum;

4. impotence;

5. retrograde ejaculation ("dry ejaculation" C backward flow of ejaculate fluid into bladder) producing infertility;

6. bladder neck contracture C formation of scar tissue causing bladder blockage requiring repeat surgery or treatment;

7. incontinence (urinary leakage).

E. Radical Prostatectomy (total removal of prostate gland)

1. bleeding;

2. infection;

3. injury to adjacent organs (blood vessels, bowel, nerves);

4. blockage of ureters (kidney drainage tubes);

5. erectile dysfunction (impotence, i.e., loss of erection/ejaculation);

6. incontinence (urinary leakage).

F. Bladder Suspension (MMK, Pererya C Procedure, Cystocele Repair, etc.)

1. bleeding;

2. infection;

3. blockage of ureters (kidney drainage tubes);

4. persistent leakage;

5. urinary fistula (abnormal hole in connection between bladder, vagina, etc.);

6. inability to void.

G. Vasectomy

1. bleeding;

2. infection;

3. testicular swelling or pain/possible loss of testicular function;

4. spermatic granuloma (nodule in cord at site of surgery);

5. recanalization ("re-connection" of vas tube resulting in becoming fertile again).

H. Penile Implant

1. bleeding;

2. infection (with possible loss of implant);

3. penile pain or numbness;

4. injury to bladder or urethra;

5. problems with implantable prosthetic.

I. Orchiectomy (removal of testicle)

1. bleeding;

2. infection;

3. loss of hormone (testosterone) resulting in erection problems, decreased energy, etc.;

4. loss of fertility (ability to have children).

J. Varicocele Repair (ligation/tying of spermatic veins)

1. bleeding;

2. infection;

3. injury to spermatic cord (vas deferens), testicular artery, nerves;

4. testicular swelling or pain;

5. possible loss of testicle due to blood vessel injury or infection (rare).

K. Transurethral Resection of Bladder Tumor

1. bleeding;

2. infection;

3. perforation of bladder;

4. obstruction of ureter (kidney drainage tube).

L. Circumcision (removal of penile foreskin)

1. ulceration and scarring of urine hole at tip of penis (meatal stenosis);

2. bleeding;

3. infection (minor or serious);

4. removal of too much or too little skin;

5. skin bridge;

6. fistula (abnormal hole in urine tube);

7. buried penis.

M. Hernia/Hydrocele (removal of fluid filled sac)

1. injury to sperm duct (vas deferens);

2. injury to blood vessels of testis;

3. atrophy (shriveling) of the testicle with loss of function;

4. reaccumulation of hernia or fluid in scrotum.

N. Hypospadias Repair (Correction of Penile Curvature/Urethroplasty) (Construction/reconstruction of drainage tube from bladder)

1. leakage of urine at surgical site;

2. stricture formation;

3. residual curvature of penis;

4. disfiguring scars;

5. injury to glans (head of penis);

6. additional operations.

O. Ureteral Reimplantation (Reinserting ureter, tube between kidney and bladder, into the bladder)

1. leakage of urine at surgical site;

2. obstruction to urine flow;

3. damage to or loss of ureter (kidney drainage tube);

4. backward flow of urine from bladder into ureter (kidney drainage tube);

5. damage to other adjacent organs;

6. damage to kidney.

P. Pyeloplasty (pyeloureteroplasty C reconstruction of kidney drainage system)

1. obstruction of urinary flow;

2. leakage of urine at surgical site;

3. injury to or loss of kidney;

4. damage to adjacent organs;

5. decrease in kidney function C temporary/ permanent;

6. infection with resultant failure of surgery and/or loss of kidney function.

Q. Orchiopexy (surgically placing an undescended testicle into the scrotum)

1. atrophy (shriveling) of the testicle with loss of function;

2. removal of the testicle;

3. injury to the vas deferens;

4. inability to completely bring the testicle into the scrotum in a single surgical procedure;

5. recurrent hernia formation;

6. infection with possible loss of testicle.

La. Admin. Code tit. 48, § I-2449

Promulgated by the Department of Health and Hospitals, Louisiana Medical Disclosure Panel, LR 22:31 (January 1996), repromulgated LR 22:285 (April 1996), LR 22:712 (August 1996).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:1299.40(E) et seq.

NOTE: Itemization of the procedures and risks under a particular specialty does not preclude other qualified practitioners from using those risks identified for that particular procedure.