Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)
CPT4 code
Name of the Procedure:
Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)
Summary
This procedure uses a special type of ultrasound that is inserted into the rectum to create detailed images of the prostate. It helps measure the size and shape of the prostate to plan brachytherapy, a type of radiation treatment for prostate cancer.
Purpose
The procedure aims to gather precise measurements of the prostate to guide the placement of radioactive seeds in brachytherapy. This ensures effective and targeted cancer treatment.
Indications
- Diagnosed with prostate cancer and scheduled for brachytherapy.
- Symptoms such as difficulty urinating, blood in urine, or frequent urination both day and night.
- Elevated Prostate-Specific Antigen (PSA) levels.
Preparation
- Patients may be asked to perform a cleansing enema to clear the rectum.
- Fasting is generally not required.
- Patients should inform their doctor of any medications or medical conditions.
Procedure Description
- The patient lies on their side with knees pulled towards the chest.
- A lubricated, covered ultrasound probe is gently inserted into the rectum.
- The probe emits sound waves to create images of the prostate.
- These images are used to calculate the volume and dimensions of the prostate.
- The procedure is typically painless but may cause slight discomfort.
Duration
The procedure usually takes about 20-30 minutes.
Setting
The procedure is performed in a hospital or an outpatient clinic.
Personnel
- Radiologist or urologist to perform the ultrasound.
- Technicians to assist with the procedure.
- Nurses for patient care.
Risks and Complications
- Minimal risk of infection or bleeding.
- Rare instances of rectal discomfort or injury.
Benefits
- Provides accurate prostate measurements to optimize brachytherapy treatment.
- Enhances precision in cancer treatment, potentially improving outcomes.
Recovery
- Most patients can resume normal activities immediately after the procedure.
- Any discomfort is usually mild and temporary.
- Follow-up appointments may be scheduled to review results and proceed with brachytherapy planning.
Alternatives
- MRI scans for prostate imaging.
- CT scans, though less commonly used for this purpose.
- Each alternative has its own pros and cons, typically trading off image clarity, cost, and availability.
Patient Experience
- Patients might feel slight pressure or discomfort due to the rectal probe.
- No significant pain is expected.
- Healthcare providers will make efforts to ensure patient comfort throughout the procedure.