CPT® Code 55845

Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes

The procedure described by CPT® Code 55845 refers to a retropubic radical prostatectomy, which is a surgical intervention aimed at removing the prostate gland along with surrounding tissues and lymph nodes. 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. The procedure may be performed with or without nerve-sparing techniques, which aim to preserve the nerves responsible for erectile function. Additionally, this code includes a bilateral pelvic lymphadenectomy, which involves the removal of lymph nodes from both sides of the pelvis, specifically targeting the external iliac, hypogastric, and obturator nodes. This is crucial for staging the cancer and determining the extent of its spread. The detailed steps of the procedure ensure that the malignancy is addressed effectively while minimizing damage to surrounding structures, thereby enhancing the potential for recovery and quality of life post-surgery.