Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery
CPT4 code
Name of the Procedure:
Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery
Summary
This procedure involves using a laser to destroy abnormal growths or lesions on the penis, such as warts (condyloma), benign tumors (papilloma), viral infections (molluscum contagiosum), or herpes vesicles. The laser precisely targets the lesions to remove them with minimal damage to surrounding tissues.
Purpose
This procedure addresses various types of lesions on the penis, including those caused by viruses like HPV and herpes. The goal is to remove the lesions, reduce symptoms, prevent further spread, and promote healing.
Indications
- Presence of penile lesions such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicles.
- Persistent or recurrent lesions unresponsive to other treatments.
- Lesions causing discomfort, pain, or cosmetic concerns.
- Patients with a confirmed diagnosis of the lesion type by a healthcare provider.
Preparation
- Follow specific instructions from your healthcare provider, which may include adjusting current medications.
- Perform necessary diagnostic tests such as viral swabs or biopsies.
Procedure Description
- The patient is positioned comfortably on the examination table.
- Local anesthesia is administered to numb the area.
- The laser device is calibrated and targeted at the lesion(s).
- The surgeon activates the laser, destroying the lesion(s) with controlled pulses of laser energy.
- Once all lesions are treated, a soothing ointment may be applied to the area.
Duration
The procedure typically takes between 15 to 30 minutes, depending on the number and size of lesions.
Setting
This procedure is usually performed in an outpatient clinic or surgical center.
Personnel
- Urologist or dermatologist specializing in laser surgery
- Trained nursing staff to assist with the procedure
- An anesthesiologist, if sedation beyond local anesthesia is required
Risks and Complications
- Common risks: minor pain, swelling, redness, and temporary discoloration of the treated area.
- Rare risks: infection, scarring, changes in skin texture, or incomplete removal of lesions requiring additional treatments.
Benefits
- Effective removal of penile lesions.
- Relief from symptoms and discomfort.
- Improved appearance and reduced risk of lesion spread.
- Results are typically noticeable within a few days to weeks.
Recovery
- Follow post-procedure care instructions, which may include applying ointments and avoiding sexual activity until the area heals.
- Expected recovery time is usually a few days to a week.
- Attend follow-up appointments as scheduled to monitor healing and address any concerns.
Alternatives
- Topical treatments like creams or ointments.
- Traditional surgical excision.
- Cryotherapy (freezing the lesion).
- Electrocautery (burning the lesion).
- Pros and cons: Each alternative varies in effectiveness, recovery time, and potential side effects. Discuss with your healthcare provider to determine the best option for your specific condition.
Patient Experience
- During the procedure: Minimal discomfort due to local anesthesia; you may feel mild pressure or warmth.
- After the procedure: Mild pain or stinging, managed with over-the-counter pain relievers if needed; follow care instructions to ensure proper healing and comfort.