CPT® Code 54220

Irrigation of the corpora cavernosa for priapism is a medical procedure aimed at alleviating prolonged and painful erections, known as priapism. This condition can lead to significant discomfort and potential complications if not addressed promptly. During the procedure, the patient remains awake, which allows for immediate feedback regarding pain and discomfort levels. To manage pain effectively, a penile ring block or local infiltration of anesthetic is administered to the skin and tunica albuginea, ensuring that the patient experiences minimal discomfort throughout the process. The procedure involves the use of a 16 or 18 gauge needle, which is inserted into the lateral aspect of the corpus cavernosa, a spongy tissue that fills with blood to cause an erection. A syringe is then attached to the needle to aspirate blood from the tissue. If the initial aspiration does not yield results, a 3-way stopcock is utilized to facilitate the introduction of saline solution into the corpus cavernosa. This saline irrigation helps to thin the blood and promote drainage, ultimately leading to detumescence, or the reduction of the erection. The procedure may also involve the addition of medications such as epinephrine or phenylephrine to the irrigation fluid if saline alone is insufficient to relieve the condition. Overall, this intervention is critical for managing priapism and preventing further complications associated with this condition.