Plastic operation on penis to correct angulation
CPT4 code
Name of the Procedure:
Plastic Operation on Penis to Correct Angulation (Common name: Penile Straightening Surgery, Medical term: Penile Plication or Corporoplasty)
Summary
This is a surgical procedure aimed at correcting the curvature of the penis which can occur due to congenital conditions or diseases like Peyronie's disease. The goal is to straighten the penis to improve function and appearance.
Purpose
The main purpose of this procedure is to address penile curvature which can cause physical discomfort, difficulty during sexual intercourse, and emotional stress. The expected outcome is a straightened penis that functions normally without pain.
Indications
- Congenital penile curvature
- Peyronie's disease causing significant curvature
- Pain or difficulty during sexual intercourse due to penile angulation
- Psychological distress or reduced quality of life due to the condition
Preparation
- The patient will need to fast for at least 6 hours prior to surgery.
- Routine blood tests and possibly an electrocardiogram (ECG) to check overall health.
- Patients may need to stop taking certain medications like blood thinners.
- Preoperative consultation with the surgeon to discuss the procedure, risks, and benefits.
Procedure Description
- The patient is given general or regional anesthesia.
- An incision is made along the shaft of the penis.
- The surgeon identifies the area causing the curvature.
- Sutures (stitches) are placed on the opposite side of the curve to straighten the penis (plication technique) or plaques are excised (corporoplasty).
- The incision is then closed with dissolvable stitches.
- A dressing is applied to protect the area.
Duration
The procedure typically takes about 1 to 2 hours.
Setting
This surgery is usually performed in a hospital or specialized surgical center.
Personnel
- Urologist or specialized penile surgeon
- Anesthesiologist
- Surgical nurses
- Operating room technicians
Risks and Complications
- Infection at the surgical site
- Bleeding or hematoma formation
- Reduced penile sensation
- Erectile dysfunction
- Recurrence of curvature
- Scarring
Benefits
- Improved penile straightness
- Enhanced sexual function and comfort
- Relief from pain
- Improved self-esteem and psychological well-being Benefits may be realized within a few weeks to several months after the procedure.
Recovery
- The patient may be discharged the same day or after an overnight stay.
- Pain and swelling are common post-surgery; medication will be provided to manage this.
- Avoid sexual activity and heavy physical activity for 4-6 weeks.
- Follow-up appointments are necessary to monitor healing and address any concerns.
Alternatives
- Non-surgical options such as penile traction devices or injections (e.g., collagenase Clostridium histolyticum for Peyronie's disease)
- Pros: Non-invasive, fewer risks
- Cons: Less effective for severe curvature, longer time to see results
Patient Experience
- During the procedure, the patient will be under anesthesia and will not feel any pain.
- Postoperative discomfort and swelling can be managed with prescribed medications.
- The patient may need to wear supportive underwear to minimize swelling.
- Clear instructions on wound care, activity limitations, and follow-up schedules will be provided to ensure a smooth recovery.