CPT® Code 55600

Vesiculotomy is a surgical procedure that involves the exposure or opening of one or both seminal vesicles, which are glandular structures located behind the bladder and above the prostate. These tubular glands play a crucial role in the male reproductive system by producing components of seminal fluid, which is essential for sperm viability and transport. The anatomy of the seminal vesicles includes an inner layer of secretory cells, a middle layer composed of smooth muscle, and an outer layer of connective tissue. The seminal vesicles connect with the vas deferens to form the ejaculatory duct, which subsequently opens into the prostatic urethra. Conditions affecting the seminal vesicles can lead to various symptoms, including abdominal, pelvic, or penile pain, discomfort during ejaculation or urination, reduced semen volume, and the presence of blood in the semen or urine. The surgical approach for performing a vesiculotomy can be through the retropubic space, which is the area between the pubic symphysis and the bladder, or via a perineal incision, located between the anus and scrotum. In cases where a retropubic incision is made in the lower abdomen, the bladder is typically retracted to provide access to the seminal vesicles for exposure. It is important to note that if a more extensive dissection of the seminal vesicles is necessary, the procedure should be reported using CPT® code 55605. CPT® code 55600 specifically denotes a simple vesiculotomy.