| Intervention: Prostatectomy | ||
|---|---|---|
| ICD-10 code: | ||
| ICD-9 code: | 60.2 - 60.6 | |
| MeSH | D011468 | |
| Other codes: | ||
A prostatectomy is the surgical removal of all or part of the prostate gland. The International Classification of Health Interventions (ICHI is a system of classifying Procedure codes being developed by the World Health Organization. ICD-9-CM Volume 3 is a system of Procedural codes. It is a subset of ICD-9-CM (volumes 1 and 2 are used for Diagnostic codes. Medical Subject Headings ( MeSH) is a huge Controlled vocabulary (or metadata system for the purpose of indexing journal articles and books Procedure codes are numbers or alphanumeric codes used to identify specific health interventions taken by medical professionals Surgery (from the χειρουργική cheirourgikē, via chirurgiae meaning "hand work" is a medical specialty that uses operative manual and instrumental The prostate (from Greek προστάτης - prostates, literally "one who stands before" "protector" "guardian" is a Abnormalities of the prostate, such as a tumour, or if the gland itself becomes enlarged for any reason, can restrict the normal flow of urine along the urethra. See also Cancer A tumor or tumour is the name for a swelling or lesion formed by an abnormal growth of cells (termed neoplastic Urine is a liquid waste product of the body secreted by the Kidneys by a process of filtration from Blood and Excreted through the Urethra. In Anatomy, the urethra (from Greek ουρήθρα - ourethra) is a tube which connects the Urinary bladder to the outside of
There are several forms of the operation:
- Transurethral resection of the prostate (TURP): a cystoscope[A Resectoscope Rather, which has 30 degree of viewing angle, along with Resectoscopy Sheath & Working Element] is passed up the urethra to the prostate, where the surrounding prostate tissue is excised. Transurethral resection of the prostate (also known as TURP, plural TURPs and as a transurethral prostatic resection TUPR) is a urological operation Endoscopy of the Urinary bladder via the Urethra is called cystoscopy This is a common operation for benign prostatic hyperplasia (BPH) and outcomes are excellent for a high percentage of these patients (80-90%). Benign prostatic hyperplasia ( BPH) also known as nodular hyperplasia, benign prostatic hypertrophy (technically a misnomer or benign enlargement of A more refined and safer operation is by means of a holmium(Nd:YAG) high powered "red" laser. A related laser procedure for relief of prostatic obstruction utilizes a potassium titanyl phosphate(KTP) laser to vaporize the adenoma. More recently the KTP laser has been supplanted by a higher power laser source based on a lithium triborate crystal, though it is still commonly referred to as a "Greenlight" or KTP procedure. The specific advantages of utilizing laser energy rather than a traditional electrosurgical TURP is a decrease in the relative bloodloss, elimination of the risk of TUR-syndrome, the ability to treat larger glands, as well as treating patients who are actively being treated with anti-coagulation therapy for unrelated diagnoses. 3,4
- Open Prostatectomy: A surgical procedure involving a skin incision and enucleation of the prostatic adenoma, through the prostatic capsule (RPP-retropubic prostatectomy) or through the bladder (SPP-suprapubic prostatectomy). Reserved for extremely large prostates.
- Laparoscopic Radical Prostatectomy: a laparoscopic or four small incisions are made in the abdomen, and the entire prostate for prostate cancer. Laparoscopic radical prostatectomy (LRP is a modern form of radical Prostatectomy, an operation for Prostate cancer.
- Robotic-assisted Laparoscopic Radical Prostatectomy: Laparoscopic robotic arms are controlled by a surgeon. The robot gives the surgeon much more dexterity than conventional laparoscopy while offering the same advantages over open prostatectomy: much smaller incisions, less pain, less bleeding, less risk of infection, faster healing time, and shorter hospital stay. [1]. While the cost of such procedures is high, costs are declining rapidly [2].
- Radical perineal prostatectomy: an incision is made in the perineum, midway between rectum and scrotum, and the prostate is removed. Radical perineal prostatectomy is a surgical procedure wherein the Prostate gland is removed through an incision in the area between the Anus and the Cutting is the separation of a physical object or a portion of a physical object into two portions through the application of an acutely directed force In Human anatomy, the perineum is generally defined as the surface region in both males and females between the Pubic symphysis and the Coccyx. The rectum (from the Latin rectum intestinum, meaning straight intestine) is the final straight portion of the Large intestine in some Mammals In some Male Mammals the scrotum - also 'scrutum' or 'scrootum' - is a protuberance of Skin and Muscle containing the Testicles Radical prostatectomy is one of the key treatments for prostate cancer.
- Radical retropubic prostatectomy: an incision is made in the lower abdomen, and the prostate removed, by going behind the pubic bone (retropubic). Radical retropubic prostatectomy is a surgical procedure in which the Prostate gland is removed through an incision in the Abdomen. In Vertebrates such as Mammals the abdomen (belly constitutes the part of the body between the Thorax (chest and Pelvis. For the bone in many mammals often called the penis bone see Baculum The android pubic bone is the Ventral and Anterior Radical prostatectomy is one of the key treatments for prostate cancer.
- Transurethral plasmakinetic vaporization prostatectomy (TUPVP).
External links
References
- ^ Center for the Advancement of Health; August 29, 2005; Robot-assisted Prostate Surgery Has Possible Benefits, High Cost [1]
- ^ Cost Analysis of Radical Retropubic, Perineal, and Robotic Prostatectomy; Scott V. Burgess, Fatih Atug, Erik P. Castle, Rodney Davis, Raju Thomas; Journal of Endourology 2006 20:10, 827-830 [2]
3. Malex, RS. et al. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia:12-month results from the first United State multicenter prospective trial. J Urology: Vol. 172(4). Pages 1404-1408.
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