Certified Professional Coder (CPC) Practice Test

How was the median lobe treat during the TURP procedure?

1. Resected

2. Emulsified

3. Electrosurgically removed

4. Burned

The correct answer is: Resected

During a Transurethral Resection of the Prostate (TURP) procedure, the median lobe is resected as part of the surgical intervention. This approach involves the removal of obstructing prostatic tissue to relieve symptoms associated with benign prostatic hyperplasia. Resection means that the tissue is cut away, allowing for the restoration of urinary flow. The technique used in TURP employs a specialized instrument called a resectoscope, which allows the surgeon to access the prostate through the urethra. The resectoscope has a loop at its end that is heated and shaped to cut away tissue efficiently. Resection is a well-established method for addressing the median lobe's enlargement, as it physically removes the obstructive tissue, unlike other methods that might merely alter or damage the tissue without complete removal. In contrast, the other techniques mentioned—emulsification, electrosurgical removal, and burning—typically refer to different modalities or types of procedures, possibly involving other surgical techniques or devices like laser treatments, which are not preferred for directly addressing the median lobe in a standard TURP procedure. Thus, resection remains the most appropriate and conventional method for treating this specific anatomical structure during a TURP.