In simple words: The doctor removes part of the prostate gland through a small cut between the scrotum and the anus.This surgery also involves procedures to stop bleeding, prevent future pregnancies, and improve urine flow.It helps when the prostate is enlarged or has a tumor blocking the flow of urine.

This procedure involves the removal of a portion of the prostate gland through an incision in the perineum. It also includes controlling bleeding after the procedure, vasectomy (removal of a segment of the vas deferens), meatotomy (incision of the urethral opening), urethral calibration or dilation (widening of the urethra), and internal urethrotomy (incision of the urethra from inside). It is performed to address conditions such as tumors or prostate enlargement that obstructs urine flow.The surgeon makes an inverted U-shaped incision in the perineum, separates the rectum from the prostate, excises part of the prostate while protecting the seminal vesicles, and removes a portion of the vas deferens. A catheter with a balloon is inserted into the urethra to ensure proper urine flow. If necessary, the urethra or the meatus is incised to widen the passage. A drainage catheter is placed in the bladder to monitor bleeding and facilitate urination during healing. After irrigating the area, the incision is closed.

Example 1: A 60-year-old male presents with an enlarged prostate causing urinary obstruction. He elects for a subtotal perineal prostatectomy to relieve the symptoms., A patient with a localized prostate tumor that has not spread beyond the gland undergoes a subtotal perineal prostatectomy., A 70-year-old male experiences recurrent bleeding from the prostate. After other treatments fail, he chooses a subtotal perineal prostatectomy.

Documentation should include the diagnosis necessitating the procedure (e.g., BPH, prostate cancer), the surgical approach, operative details, including any complications, and postoperative bleeding control measures. Pathology reports, if applicable, should also be included.