54115 Removal foreign body from deep penile tissue (eg, plastic implant)

Name of the Procedure:

Removal of Foreign Body from Deep Penile Tissue (e.g., Plastic Implant)

• Also known as: Penile foreign body removal, Penile implant extraction

Summary

A surgical procedure to remove a foreign object that has become lodged in the deep tissues of the penis, such as a plastic implant. This type of surgery is typically performed to alleviate pain, prevent infection, and restore normal function.

Purpose

This procedure addresses issues caused by foreign objects embedded in the penile tissue.

• Goals: Alleviation of discomfort, prevention of infection, preservation or restoration of normal penile function.

Indications

• Persistent pain or discomfort in the penile area.
• Signs of infection or inflammation (redness, swelling, fever).
• Difficulty urinating or engaging in sexual activity.
• Detection of foreign object through imaging tests.

Preparation

• Patients may need to:
  • Fast for several hours before the procedure.
  • Avoid certain medications (e.g., blood thinners) as advised by the doctor.
• Pre-procedure assessments:
  • Physical examination.
  • Imaging tests such as X-rays or ultrasound.
  • Blood tests to check for infection or other issues.

Procedure Description

1. Anesthesia: The patient will be given either general or regional anesthesia to ensure comfort during the procedure.
2. Incision: A small incision is made near the site of the foreign object.
3. Removal: Surgical tools are used to carefully extract the foreign body from the penile tissue.
4. Closure: The incision is then closed with sutures.
5. Final Steps: The area is cleaned and dressed to prevent infection.

• Tools and Equipment: Scalpels, forceps, sutures, antiseptic solutions.
• Anesthesia: General anesthesia or regional (spinal or local) anesthesia.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the complexity and the location of the foreign object.

Setting

Usually performed in a hospital operating room or a surgical center.

Personnel

• Surgeon (usually a urologist).
• Anesthesiologist or nurse anesthetist.
• Surgical nurses and technicians.

Risks and Complications

• Common risks: Bleeding, infection, and pain at the incision site.
• Rare risks: Damage to penile structures, anesthesia-related complications, scarring, and recurrence of the issue.

Benefits

• Relief from pain and discomfort.
• Prevention of potential infections and complications.
• Improved function and quality of life.

Recovery

• Post-Procedure Care: Dressing changes, prescribed antibiotics, and pain management medications.
• Instructions: Avoid strenuous activities and sexual intercourse for a specified period.
• Follow-Up: Scheduled follow-up appointments to monitor healing.
• Recovery Time: Most patients can resume normal activities within a few weeks.

Alternatives

• Watchful Waiting: Monitoring to see if the foreign body can be expelled without surgery, though this is rarely recommended for deep tissue objects.
• Non-surgical Intervention: Techniques like ultrasound-guided removal, though these are often less effective for deeply embedded objects.

Pros and Cons:

• Alternatives may carry less immediate risk but often are less effective and could lead to complications if delayed.

Patient Experience

• During the Procedure: The patient will be under anesthesia and should not feel pain.
• After the Procedure: There may be some discomfort or mild pain, managed by medications. Swelling and bruising may occur but should subside over time.
• Pain Management: Pain relief medications and comfort measures as prescribed by the healthcare team.