CPT® Code 54332

1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap

Hypospadias is a congenital condition characterized by the abnormal positioning of the urethral meatus, which is the external opening of the urethra. In males with this condition, the meatus is not located at the tip of the penis but instead is found on the underside, which can lead to various functional and cosmetic issues. Proximal hypospadias specifically refers to cases where the meatal opening is situated in the penoscrotal region, which is the area where the penis meets the scrotum. The severity of proximal hypospadias can vary, with the meatus ranging from a normal-sized opening to a longer one that extends from the penoscrotal area to the midshaft of the penis. The surgical procedure described by CPT® Code 54332 involves a one-stage repair of proximal penile or penoscrotal hypospadias, which necessitates extensive dissection to address associated chordee—a condition where the penis curves downward due to fibrous tissue. This repair is performed using techniques such as urethroplasty, which involves reconstructing the urethra, and may utilize skin grafts or island flaps to create a new urethral channel. The procedure aims to restore normal urinary function and improve the anatomical appearance of the penis, thereby enhancing the quality of life for the patient. The complexity of the surgery requires careful planning and execution to ensure optimal outcomes, including the proper alignment of the urethra and the cosmetic appearance of the glans penis.