Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation
CPT4 code
Name of the Procedure:
Destruction of Lesion(s), Penis (e.g., Condyloma, Papilloma, Molluscum Contagiosum, Herpetic Vesicle), Simple; Electrodesiccation
Summary
This procedure involves using electrical currents (electrodesiccation) to destroy lesions on the penis. It is often used to treat warts, growths, or viral lesions in a minimally invasive and effective manner.
Purpose
The procedure addresses penile lesions such as warts (condyloma), benign growths (papilloma), viral infections like molluscum contagiosum, and herpetic vesicles. The goals are to remove the lesions, alleviate symptoms, prevent the spread of infection, and provide cosmetic and functional improvements.
Indications
- Presence of penile warts or growths.
- Diagnosed cases of molluscum contagiosum or herpetic vesicles.
- Lesions that cause discomfort, pain, or other symptoms.
- Patients who have not responded to topical treatments.
Preparation
- Patients may need to avoid eating or drinking for a few hours before the procedure.
- Any medication adjustments will be discussed and prescribed by the healthcare provider.
- Diagnostic tests such as a physical examination and possibly a biopsy of the lesion may be required.
Procedure Description
- The patient is positioned comfortably, and the genital area is cleaned and sterilized.
- Local anesthesia is applied to numb the area.
- A small electric current is used to destroy the lesion, achieved through an instrument called an electrocautery device.
- The procedure usually involves a targeted and precise application of the electric current to remove the abnormal tissue while minimizing damage to surrounding healthy tissue.
- Once the lesion is destroyed, the area may be treated with an antibiotic ointment and covered with a dressing if needed.
Duration
The procedure typically takes 15-30 minutes, depending on the number and size of lesions.
Setting
Usually performed in an outpatient clinic or a dermatologist's office.
Personnel
- A dermatologist or urologist who performs the procedure.
- A nurse or medical assistant to aid in preparation and post-procedure care.
Risks and Complications
- Mild pain or discomfort during or after the procedure.
- Risk of infection at the treatment site.
- Scarring or changes in skin pigmentation.
- Rarely, persistent pain or recurrence of the lesion.
Benefits
- Immediate removal of the lesion.
- Relief from symptoms like pain, itching, or discomfort.
- Prevention of the spread of infectious lesions.
- Improved cosmetic appearance and function.
Recovery
- Patients can usually go home the same day.
- Post-procedure care includes keeping the area clean and dry, applying any prescribed ointment, and avoiding sexual activity until fully healed, which is typically within one to two weeks.
- Follow-up appointments may be necessary to monitor healing and address any concerns.
Alternatives
- Topical treatments such as imiquimod or podophyllin.
- Cryotherapy (freezing the lesion).
- Laser treatment.
- Surgical excision. Pros and cons of alternatives vary, with electrodesiccation offering a quick, precise, and relatively low-cost option.
Patient Experience
- Patients might feel minor discomfort or a slight burning sensation during the procedure due to the electric current.
- Post-procedure pain is usually minimal and can be managed with over-the-counter pain relievers.
- Patients should experience little downtime and can often return to normal activities within a day, following any specific restrictions advised by the provider.