CPT® Code 55831

Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal

The procedure described by CPT® Code 55831 refers to a retropubic subtotal prostatectomy, which is a surgical operation involving the removal of the prostate gland while preserving the seminal vesicles. This approach is performed through an incision in the lower abdomen, allowing the surgeon to access the pubic cavity. During the surgery, the physician may encounter and manage postoperative bleeding, which is a common concern in such procedures. Additionally, the operation may involve a vasectomy, where a portion of the vas deferens is excised to prevent sperm from entering the ejaculate. The procedure may also include a meatotomy, which is the surgical enlargement of the urethral opening at the tip of the penis, and urethral calibration or dilation, aimed at adjusting the diameter of the urethra for optimal urinary function. In some cases, an internal urethrotomy may be performed, which involves making an incision within the urethra to relieve strictures or blockages. Overall, this procedure is comprehensive, addressing multiple aspects of male reproductive and urinary health while ensuring that the prostate is effectively removed with minimal impact on surrounding structures.