CPT® Code 54120

Partial amputation of the penis, also known as penectomy, is a surgical procedure that involves the removal of a portion of the penis. This operation is typically performed on patients who may have tumors or lesions affecting the penile tissue. The procedure is conducted with the patient positioned supine, meaning they lie flat on their back, and can be performed under various types of anesthesia, including local, regional, or general anesthesia, depending on the specific case and patient needs. During the surgery, the penis is carefully prepared and draped to maintain a sterile environment. To isolate the tumor or lesion, a sterile condom or glove may be sutured to the tip of the penis, which helps in clearly identifying the area of concern. A tourniquet is applied around the base of the penis to minimize blood flow, allowing for a clearer surgical field. The surgeon makes a circumferential incision in the skin approximately 1.5 to 2.0 cm above the tumor or lesion, which facilitates access to the underlying structures. The procedure involves meticulous dissection through various layers of penile tissue, including the identification and ligation of blood vessels, and careful handling of the urethra and corpora cavernosa. The ultimate goal of this surgery is to remove the affected tissue while preserving as much healthy tissue as possible, and to prepare the remaining structures for closure and healing.