CPT® Code 54326

1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra

Hypospadias is a congenital condition characterized by the abnormal positioning of the urethral meatus, which is the opening through which urine exits the body. In males with hypospadias, this opening is located on the underside of the penis rather than at the tip, which is the normal anatomical position. The condition is classified into various types based on the location of the meatus, with distal hypospadias being the mildest form. In distal hypospadias, the meatal opening is situated near the glans, the rounded tip of the penis. The surgical procedure coded as CPT® 54326 involves a one-stage repair of distal hypospadias, which may be performed with or without the presence of chordee (a curvature of the penis) or circumcision. This procedure includes urethroplasty, which is the surgical reconstruction of the urethra, utilizing local skin flaps and the mobilization of the urethra itself. The mobilization process entails detaching the urethra from the anterior aspect of the corpora cavernosa, which are the erectile tissues of the penis, to enhance the length of the urethra. This technique is sometimes referred to as Koff's technique, and if additional length is necessary, the urethra may also be freed proximally, a method known as the Turner-Warwick procedure. The goal of this surgical intervention is to restore normal urinary function and improve the cosmetic appearance of the penis.