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The procedure described by CPT® Code 52630 involves a transurethral resection aimed at addressing residual or regrowth of obstructive prostate tissue. This procedure is typically performed when there is a need to remove excess prostate tissue that may be causing urinary obstruction, often following a previous prostate resection. The physician utilizes a cystourethroscope, a specialized endoscopic instrument, which is inserted through the urethra to allow for direct visualization of the urethra and bladder. This enables the physician to carefully examine the prostatic urethra and surrounding areas for any obstructive tissue. In some cases, additional techniques such as meatotomy, urethral dilation, or internal urethrotomy may be employed to enhance access to the surgical site. The resection itself is performed using an irrigating resectoscope, which allows for the simultaneous cutting or vaporization of the obstructive tissue while cauterizing blood vessels to minimize bleeding. The procedure concludes with the removal of surgical debris and the submission of resected tissue for pathological analysis, ensuring comprehensive evaluation and management of the patient's condition.
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