00865 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic)

Name of the Procedure:

Anesthesia for Extraperitoneal Procedures in Lower Abdomen, including Urinary Tract; Radical Prostatectomy (Suprapubic, Retropubic)

Summary

Anesthesia is administered to prevent pain and discomfort during a radical prostatectomy, a surgical procedure to remove the prostate gland. This procedure can be performed via a suprapubic or retropubic approach and involves careful pain management to ensure a smooth and painless experience for the patient.

Purpose

The primary goal of this anesthesia procedure is to ensure that the patient remains pain-free and comfortable during a radical prostatectomy, which is performed to treat prostate cancer or other severe prostate conditions. An effective anesthesia plan helps to facilitate a successful surgery and recovery.

Indications

• Prostate cancer
• Severe benign prostatic hyperplasia
• Other significant prostate conditions

The procedure is appropriate for patients diagnosed with conditions requiring prostate gland removal, who are fit for surgery and anesthesia.

Preparation

• Patients are typically instructed to fast (no food or drink) for at least 6-8 hours prior to the surgery.
• Preoperative assessments, including blood tests, ECG, and evaluating medical history.
• Adjustment or discontinuation of certain medications (e.g., blood thinners) as directed by the healthcare provider.

Procedure Description

1. Preoperative review and consent, including discussion of anesthesia options.
2. Monitoring equipment (e.g., heart rate, blood pressure, oxygen saturation) is attached.
3. Intravenous (IV) line placement for medication administration.
4. General anesthesia is usually administered to render the patient unconscious and pain-free.
5. Occasionally, regional anesthesia (e.g., spinal or epidural) may be considered in conjunction with sedation.
6. The anesthesiologist adjusts anesthesia levels throughout the surgery to ensure comfort and vital stability.
7. Post-surgery, the patient is transitioned to recovery with ongoing pain management.

Duration

The entire process, including the administration of anesthesia, surgery, and initial recovery, typically takes 2-4 hours.

Setting

This procedure is performed in a hospital operating room.

Personnel

• Anesthesiologist
• Surgeons
• Surgical nurses
• Anesthesia nurses or technicians

Risks and Complications

• Common risks: Nausea, vomiting, sore throat (if intubated), dizziness.
• Rare risks: Allergic reactions, respiratory complications, heart complications, nerve damage.
• Possible complications of anesthesia are managed by the anesthesiology team.

Benefits

• Effective pain management during radical prostatectomy.
• Facilitation of a successful surgical procedure with minimized patient discomfort.
• Early postoperative pain control contributing to a smoother recovery process.

Recovery

• Monitoring in the recovery room until anesthesia wears off.
• Continued pain management with medications as needed.
• Discharge instructions may include activity restrictions, dietary recommendations, and follow-up appointments.
• Full recovery may take several weeks, with gradual improvement in energy levels and surgical site healing.

Alternatives

• Other less invasive treatments for prostate conditions (e.g., hormone therapy, radiation).
• Each alternative has its own risks and benefits compared to surgical removal of the prostate.

Patient Experience

During the surgery, the patient will not be aware or feel any pain due to the anesthesia. Postoperatively, there may be some discomfort managed with pain medications. Patients should expect close monitoring and support from healthcare professionals to ensure comfort and a smooth recovery.