CPT® Code 50405

Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)

Pyeloplasty is a surgical procedure aimed at reconstructing the renal pelvis, which is the area of the kidney where urine collects before it moves to the ureter. This operation is typically indicated for patients who have a congenital high insertion of the ureter into the renal pelvis, leading to obstruction and subsequent complications. The Foley Y-pyeloplasty technique is one of the more prevalent methods used in this procedure. It involves making a skin incision over the kidney, followed by careful dissection of the surrounding tissues to expose the renal pelvis and ureter. The procedure is characterized by the creation of a Y-shaped incision in the dilated renal pelvis, which allows for the proper alignment and anastomosis of the ureter. This operation may also involve additional interventions such as nephropexy, nephrostomy, pyelostomy, or ureteral splinting, particularly in complicated cases involving congenital kidney abnormalities or previous surgical interventions. The goal of pyeloplasty is to alleviate the obstruction, restore normal urine flow, and prevent further kidney damage.