Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
CPT4 code
Name of the Procedure:
Destruction of Lesion(s), Penis (e.g., Condyloma, Papilloma, Molluscum Contagiosum, Herpetic Vesicle), Extensive
- Common names: Lesion removal from penis, Genital wart removal
- Technical terms: Laser surgery, Electrosurgery, Cryosurgery, Chemosurgery
Summary
This procedure involves the removal or destruction of abnormal growths or lesions on the penis, such as genital warts, papillomas, molluscum contagiosum, and herpetic vesicles. Various techniques such as laser, electrical current, extreme cold, or chemicals are used to treat the affected area.
Purpose
The procedure is performed to remove lesions that may cause discomfort, cosmetic concerns, or potential health risks. It aims to alleviate symptoms, prevent the spread of infection (particularly in the case of contagious lesions), and improve the patient's quality of life.
Indications
- Presence of genital warts (condyloma)
- Papillomas
- Molluscum contagiosum lesions
- Herpetic vesicles
- Persistent discomfort or cosmetic concern due to lesions
- Lesions that have not responded to other treatments
Preparation
- Patients may be instructed to fast for a few hours if anesthesia will be used.
- Necessary adjustments to medications should be discussed with the healthcare provider.
- Diagnostic tests may include a physical examination and possibly a biopsy to identify the type of lesion.
Procedure Description
- The area around the lesion is cleaned and anesthetized to minimize pain.
- Depending on the technique, the lesion is destroyed using:
- Laser surgery: Intense light beams target and destroy the lesion.
- Electrosurgery: Electric current burns the lesion.
- Cryosurgery: Liquid nitrogen freezes and destroys the lesion.
- Chemosurgery: Chemicals are applied to dissolve the lesion.
The procedure may involve multiple sessions depending on the extent and number of lesions.
Duration
The procedure typically lasts between 15 minutes to an hour, depending on the number and size of the lesions.
Setting
This procedure can be performed in various settings such as a hospital, outpatient clinic, or surgical center.
Personnel
- Surgeons or urologists
- Nurses
- Anesthesiologists (if general anesthesia is used)
Risks and Complications
- Pain, swelling, or redness at the treatment site
- Infection
- Scarring
- Temporary or permanent changes in skin color
- Recurrence of the lesion
Benefits
- Relief from discomfort and symptoms caused by the lesions
- Improved cosmetic appearance and self-esteem
- Reduced risk of spreading infectious lesions to others
- Most benefits are realized soon after recovery.
Recovery
- Patients are given instructions on how to care for the treated area, including keeping it clean and dry.
- Over-the-counter pain medication may be recommended.
- Restrictions such as avoiding sexual activity for a specified period may be advised.
- Follow-up appointments may be needed to monitor healing and ensure complete lesion removal.
- Full recovery typically ranges from a few days to a couple of weeks, depending on the extent of the procedure.
Alternatives
- Topical treatments (creams or ointments)
- Oral medications
- Observation and monitoring, especially if lesions are asymptomatic and not causing concerns
- Physical excision of the lesions
Each alternative has its own pros and cons, depending on the specific condition and patient needs.
Patient Experience
During the procedure, patients may feel mild discomfort despite local anesthesia. Post-procedure pain can usually be managed with medication. Patients might experience soreness, swelling, or redness, which subsides over time. The overall experience aims to be minimally invasive and as comfortable as possible.