CPT® Code 55840

The procedure described by CPT® Code 55840 refers to a retropubic radical prostatectomy, which is a surgical intervention aimed at the removal of the prostate gland along with some surrounding tissue. This operation is typically indicated for patients diagnosed with prostate cancer. The term "retropubic" indicates that the incision is made in the lower abdomen, specifically in the midline, allowing access to the prostate without entering the peritoneal cavity. This approach is designed to minimize complications and facilitate a clearer view of the surgical field. The procedure may be performed with or without nerve-sparing techniques, which aim to preserve the neurovascular bundles that are critical for erectile function. The surgery involves a series of meticulous steps, including the exploration and potential excision of pelvic lymph nodes, which are assessed for the presence of malignancy. The detailed steps of the procedure ensure that the prostate is completely mobilized and removed while maintaining the integrity of surrounding structures as much as possible. This comprehensive approach is essential for achieving optimal surgical outcomes and reducing the risk of recurrence of cancer.