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The procedure described by CPT® Code 55821 refers to a suprapubic prostatectomy, which is a surgical operation involving the removal of the prostate gland through an incision made in the lower abdomen, specifically above the pubic bone. This approach allows the surgeon to access the prostate while preserving the seminal vesicles, which are glands that contribute to semen production. During the surgery, the physician may perform several additional tasks to ensure the procedure's success and manage any complications. These tasks include controlling any postoperative bleeding that may occur, performing a vasectomy by removing a portion of the vas deferens, conducting a meatotomy to enlarge the urethral opening, calibrating or dilating the urethra to adjust its diameter, and potentially performing an internal urethrotomy, which involves making an incision within the urethra itself. The entire procedure can be executed in either one or two stages, depending on the specific clinical circumstances and the surgeon's assessment. This comprehensive approach aims to address various aspects of prostate-related conditions while minimizing complications and promoting recovery.
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