CPT® Code 53505

Surgical repair of an injury to the male urethra, referred to as urethrorrhaphy, involves the meticulous suturing of a wound or injury to the urethra, specifically the penile urethra. This procedure is typically performed with the patient positioned supine or in a low lithotomy position to provide optimal access to the surgical site. Prior to the procedure, the penis, scrotum, and perineal area are thoroughly prepared and draped to maintain a sterile environment. In cases of penetrating injuries, the surgical team first cleans the wound and may need to debride the corpus spongiosum or corpus cavernosum, which are the erectile tissues surrounding the urethra, to ensure that any damaged tissue is removed and the area is examined for any associated injuries that may require attention. The actual repair of the urethral wound is conducted using sutures, which are placed over a catheter that has been previously inserted transurethrally into the bladder to facilitate proper alignment and healing of the urethra. If the wound is particularly large or contaminated, drains may be placed to assist in fluid management. Following the urethral repair, the corpus spongiosum or corpus cavernosum is closed using absorbable sutures, and the skin is subsequently closed to complete the procedure. This surgical intervention is critical for restoring the integrity of the urethra and ensuring normal urinary function following an injury.