Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision
CPT4 code
Name of the Procedure:
Destruction of Lesion(s), Anus (e.g., Condyloma, Papilloma, Molluscum Contagiosum, Herpetic Vesicle), Simple; Surgical Excision
Summary
This procedure involves the surgical removal of abnormal skin growths or lesions in the anal area, such as warts, papillomas, molluscum contagiosum, or herpetic vesicles. It is a straightforward surgical procedure aimed at eliminating these lesions to prevent complications and improve the patient's health.
Purpose
The procedure is intended to address various lesions in the anal region that might cause discomfort, pain, itching, or could potentially develop into more severe health issues. The primary goal is to remove these lesions to alleviate symptoms, prevent recurrence, and eliminate any risk of further complications.
Indications
Patients who experience symptoms like anal pain, itching, bleeding, or noticeable growths in the anal area may require this procedure. It is also indicated for patients diagnosed with specific conditions such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicles.
Preparation
Patients are typically instructed to fast for a few hours before the procedure. Any anticoagulant medications may need to be adjusted or paused. A thorough medical assessment, including blood tests and, in some cases, imaging studies, will be conducted to ensure the patient is fit for surgery.
Procedure Description
- The patient is positioned in a way that allows optimal access to the anal area.
- Anesthesia is administered. Local anesthesia is commonly used, but general anesthesia might be necessary in some cases.
- The surgeon uses surgical tools to excise the lesion(s) carefully.
- The area is then cleaned and dressed to promote healing.
- The procedure generally does not require sutures, but this can depend on the size and number of lesions.
Duration
The procedure typically takes about 30 to 60 minutes.
Setting
This procedure is usually performed in an outpatient clinic, hospital, or surgical center.
Personnel
- Surgeon
- Nursing staff
- Anesthesiologist (if general anesthesia is used)
Risks and Complications
Common risks include:
- Infection
- Bleeding
- Pain at the surgery site
Rare but possible complications:
- Scarring
- Recurrence of the lesion
- Adverse reactions to anesthesia
Benefits
Patients can expect the removal of bothersome lesions, resulting in symptom relief. The benefits are typically realized within a few days to weeks post-procedure.
Recovery
Post-procedure care includes keeping the area clean and dry, taking prescribed medications, and avoiding strenuous activities. Recovery time varies but generally ranges from a few days to a couple of weeks. Follow-up appointments ensure proper healing.
Alternatives
Other treatment options include:
- Cryotherapy (freezing the lesion)
- Topical treatments with chemicals or medications
- Laser treatment
Each alternative has its pros and cons, such as differences in recovery time, effectiveness, and potential for recurrence.
Patient Experience
During the procedure, the patient might feel some sensation due to local anesthesia injections but should not experience significant pain. Post-operative discomfort is common and managed with pain relievers. Patients may experience mild soreness, temporary limitations in daily activities, and need for meticulous hygiene in the treated area to ensure proper healing.