CPT® Code 54328

1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap

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 not located at the tip of the penis but rather on the underside, which can lead to various functional and aesthetic issues. The condition is classified as distal or mild when the meatal opening is situated near the glans, the rounded tip of the penis. The 1-stage distal hypospadias repair procedure aims to correct this displacement by reconstructing the urethra and relocating the meatus to its normal position at the tip of the penis. This surgical intervention may also address chordee, a condition where the penis curves during erection, which can further complicate the normal function and appearance of the penis. The procedure involves the creation of a new urethra (neo-urethra) using local skin flaps, skin grafts, or island flaps, which are specialized techniques that utilize the patient's own tissue to ensure proper healing and integration. The surgical approach typically includes extensive dissection to correct any curvature and to facilitate the urethroplasty, ensuring that the new urethra is both functional and aesthetically pleasing. A stent or catheter is placed in the urethra to maintain patency during the healing process, and the surgical technique may involve various incisions and suturing methods to achieve the desired outcome.