CPT® Code 54406

The procedure described by CPT® Code 54406 involves the surgical removal of all components of a multi-component, inflatable penile prosthesis without the replacement of the prosthesis. This procedure is typically indicated for patients who may be experiencing complications or failures related to the penile prosthesis, such as infection, mechanical failure, or other adverse effects. The removal process is intricate and requires careful dissection to ensure that all components, including the reservoir, pump, and cylinders, are completely extracted from the body. The procedure begins with the insertion of a catheter transurethrally, which aids in the identification and access to the necessary anatomical structures. A midline incision is then made in the lower abdomen, allowing the surgeon to navigate through the subcutaneous tissue and fascia to reach the dorsal venous complex and corporal bodies. The detailed steps of the procedure involve meticulous dissection to free the reservoir and tubing, ensuring that all components are removed while minimizing trauma to surrounding tissues. The closure of the incisions is performed in layers, which may include the placement of a drain to facilitate recovery. This comprehensive approach ensures that the procedure is conducted safely and effectively, addressing the patient's needs while maintaining surgical integrity.