CPT® Code 45825

A rectourethral fistula is defined as an abnormal connection between the rectum and the urethra, which can lead to significant clinical complications. This condition may arise due to various factors, including postoperative complications, chronic infections, inflammation of the bowel, malignant tumors, or trauma. The presence of a rectourethral fistula can result in symptoms such as fecal incontinence, urinary incontinence, and recurrent urinary tract infections, which can severely impact a patient's quality of life. The surgical procedure coded as CPT® 45825 involves the closure of this type of fistula and is performed in conjunction with the creation of a colostomy. The colostomy serves as a temporary measure to divert stool away from the rectum, allowing for proper healing of the surgical site. Different surgical approaches may be utilized, including abdominal, perineal, and trans-sphincteric techniques, depending on the specific anatomy and condition of the patient. Prior to the closure procedure, a suprapubic cystostomy may be performed to divert urine, ensuring that the urethra is not compromised during the surgical intervention. The complexity of this procedure necessitates careful planning and execution to achieve optimal outcomes for the patient.