Name of the Procedure:

Destruction of lesion(s), penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple surgical excision

Summary

This procedure involves the removal of lesions on the penis through surgical excision. Lesions can include warts (condyloma), small growths (papilloma), molluscum contagiosum (a viral skin infection), and herpetic vesicles (blisters caused by herpes).

Purpose

The goal is to remove abnormal, and often infectious, growths on the penis to prevent further spread of infection, reduce symptoms, and improve the appearance of the affected area.

Indications

• Presence of genital warts (condyloma acuminata)
• Small benign growths (papilloma)
• Molluscum contagiosum nodules
• Herpetic vesicles causing discomfort or potential complications
• Persistent, recurring, or symptomatic lesions

Preparation

• Patients may be advised to fast for a few hours before the procedure if anesthesia is planned.
• Adjustments to certain medications might be required.
• A thorough clinical evaluation and possibly laboratory tests to understand the nature of the lesions.

Procedure Description

1. The area around the lesion is cleaned and sterilized.
2. Local anesthesia is administered to numb the area.
3. A small scalpel or surgical scissors are used to excise the lesion completely.
4. The excised area is cauterized if necessary to control bleeding.
5. The site might be closed with sutures or left to heal naturally depending on the size and depth of the wound.
6. A sterile dressing is applied to the treated area.

Duration

The procedure typically takes about 15 to 30 minutes, depending on the number and size of lesions.

Setting

This procedure can be performed in an outpatient clinic, hospital, or surgical center.

Personnel

• Surgeon or qualified healthcare provider
• Nurse or surgical assistant
• Anesthesiologist (if general anesthesia is used, though usually local anesthesia suffices)

Risks and Complications

• Infection at the excision site
• Bleeding or hematoma
• Scarring or changes in skin texture
• Pain or discomfort post-procedure
• Potential recurrence of lesions

Benefits

• Removal of infectious or troublesome lesions
• Relief from symptoms such as pain, itching, or aesthetic concerns
• Prevention of further spread of infectious agents

Recovery

• Keep the treated area clean and dry.
• Follow specific wound care instructions provided by the healthcare team.
• Pain can usually be managed with over-the-counter pain medication.
• Avoid sexual activity until the area has fully healed.
• Follow-up appointments to monitor healing and check for recurrence.

Alternatives

• Cryotherapy (freezing the lesions)
• Laser therapy
• Topical medications (for smaller lesions)
• Each alternative may have different effectiveness, risks, and side-effect profiles.

Patient Experience

During the procedure, the patient will feel little to no pain due to the local anesthesia. Post-procedure, they might experience mild discomfort or tenderness at the site, manageable with pain relief measures. Following the care instructions diligently will help ensure a smooth recovery.