CPT® Code 52648

Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)

A complete laser vaporization of the prostate is a surgical procedure that utilizes laser technology to remove prostate tissue. This method is also known as interstitial laser coagulation of the prostate (ILCP) or contact laser ablation of the prostate (CLAP). The procedure is designed to achieve immediate destruction and vaporization of prostate tissue, which can alleviate symptoms associated with prostate enlargement or other related conditions. During the procedure, the physician employs a cystourethroscope, a specialized instrument that allows for endoscopic examination of the urethra and bladder. This examination is crucial for assessing the anatomy of the urethral sphincter and prostate, as well as the positioning of the ureters and bladder neck. In addition to the primary laser vaporization, several ancillary procedures may be performed to enhance surgical access and effectiveness. These include vasectomy, meatotomy, cystourethroscopy, urethral calibration, urethral dilation, and internal urethrotomy. The laser fiber is carefully introduced and positioned to avoid direct contact with the prostate tissue, and the laser is activated using controlled movements to ensure effective vaporization. The procedure is designed to minimize postoperative complications, such as bleeding, and typically does not require the placement of a Foley catheter postoperatively. Overall, this advanced technique aims to provide relief from urinary symptoms while ensuring patient safety and comfort.