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The procedure described by CPT® Code 54115 involves the surgical removal of a foreign body from deep penile tissue, which may include items such as plastic implants. This procedure is typically indicated when a foreign object has been implanted in the penile area and requires surgical intervention for removal due to complications or patient discomfort. The patient is positioned supine, which means lying on their back, to facilitate access to the surgical site. Prior to the incision, the penis is meticulously prepared and draped to maintain a sterile environment, minimizing the risk of infection. The surgical approach involves making an incision along the shaft of the penis directly over the location of the foreign body. The incision is carefully extended down to the corpus cavernosum and/or corpus spongiosum, which are the erectile tissues of the penis, until the foreign object is clearly visualized. Surrounding tissue that may be devitalized or infected is dissected away to ensure complete removal of the foreign body. Following the extraction, the wound is irrigated with saline and/or an antibacterial solution to cleanse the area. A drain may be placed to facilitate fluid drainage, and the wound is then closed using simple sutures. After the procedure, a sterile dressing is applied to protect the surgical site, and both the dressing and drain are typically removed 2-3 days post-operation, allowing for proper healing and recovery.
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