CPT® Code 55867

Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robotic assistance, when performed

Laparoscopic simple subtotal suprapubic prostatectomy is a minimally invasive surgical procedure performed to alleviate symptomatic obstruction caused by an enlarged prostate, also known as benign prostatic hyperplasia (BPH). This procedure is typically indicated for patients experiencing significant urinary difficulties due to the enlargement of the prostate gland. The surgery is conducted under general anesthesia, ensuring the patient is completely unconscious and pain-free during the operation. The patient is positioned in maximum Trendelenburg position, which involves tilting the body so that the head is lower than the feet, facilitating better access to the pelvic region. A urinary catheter is inserted to manage urine flow during the procedure. The surgical approach begins with a suprapubic incision, allowing access to the bladder. Pneumoperitoneum, the process of inflating the abdominal cavity with gas, is established to create a working space for the surgeon. A trocar, a specialized surgical instrument, is inserted to facilitate the introduction of a camera and other surgical instruments into the abdominal cavity. The procedure involves careful dissection and manipulation of the prostate and surrounding structures, including the bladder and urethra, to remove the obstructive prostate tissue while preserving surrounding anatomy. Robotic assistance may be utilized to enhance precision during the surgery. Postoperatively, the patient is monitored for urine output and any complications, ensuring a safe recovery process.