Transluminal Flexible Endoscopic Procedure in Foregut and Urologic Surgery

Inclusion Criteria: * Patients undergoing an already combined laparoscopic and endoscopic foregut procedure with general anesthesia * Patients undergoing a prostatectomy or cystectomy with general anesthesia * All patients will have a planned gastrotomy for exploration, foreign body removal, or removal of tissue, making it a contaminated case or a planned cystotomy or urethrotomy for exploration, foreign body removal or removal of tissue such as prostatectomy or bladder resection. * No overwhelming medical co-morbidities * Subject is 18 years of age or older * Subject is his or her own medical decision maker * Subject agrees to participate, fully understands content of informed consent form, and signs the informed consent form Exclusion Criteria: * Patients undergoing a non-palliative procedure in the face of resectable adenocarcinoma of the foregut or genitourinary tract * Linitis Plastica * Evidence of Active Bowel Obstruction * Patients with history of oropharyngeal, esophageal, or gastric adenocarcinoma. * Esophageal stricture prohibiting passage of an endoscope * Urethral stricture prohibiting passage of an endoscope * Emergent Surgery * At any time during pre-operative or intra-operative periods, evidence of unresectability is demonstrated * Any intra-operative condition prior to surgical resection that results in abortion of the surgical procedure * Any contraindication to surgery * Pregnancy or actively breastfeeding women * Prisoners or Wards of State