CPT® Code 55605

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. Patients suffering from seminal vesicle disease may present with a variety of symptoms, including abdominal, pelvic, or penile pain, discomfort during ejaculation or urination, reduced semen volume, and the presence of blood in either semen or urine. The surgical approach to performing a vesiculotomy can vary; it may be conducted 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 the scrotum. In cases where a retropubic incision is utilized, the bladder is typically retracted to provide access to the seminal vesicles, allowing for proper exposure of the glands. When the procedure necessitates more extensive dissection, the CPT® code 55605 is used to report this complicated vesiculotomy, distinguishing it from the simpler procedure reported under CPT® code 55600.