The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic prostatectomy for benign prostatic obstruction.


The prostate gland lies just under a man's bladder. Benign prostatic obstruction (BPO) happens when the prostate gland gets bigger, squeezing the tube that carries urine from the bladder to the tip of the penis (the urethra) and causing problems with passing of urine. Laparoscopic prostatectomy involves removing the prostate through small cuts in the abdomen, using a fine telescope to see inside the body (also known as 'keyhole surgery').

Coding recommendations

A code from category M61.- Open excision of prostate is assigned


Y75.2 Laparoscopic approach to abdominal cavity NEC

In addition ICD-10 code N40.X Hyperplasia of prostate is assigned.

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.