CPT® Code 50660

An ectopic ureterectomy is a surgical procedure that involves the complete removal of an ectopic ureter, which is a ureter that does not connect normally to the bladder and instead terminates in an abnormal location. This condition can occur in both males and females, with the ureter potentially ending in various structures such as the epididymis, vas deferens, ejaculatory duct, seminal vesicle, urethra, or utriculus in males, and in females, it may terminate in the Gartner's duct, upper vagina, cervix, uterus, or urethra. In rare cases, the ectopic ureter may even terminate in the rectum for both sexes. The procedure is performed using a combination of abdominal, vaginal, and/or perineal approaches to ensure complete excision of the ureter. Prior to the surgical intervention, a Foley catheter is typically placed to drain the bladder, facilitating better access to the ureter during the operation. The surgical process begins with an incision in the abdomen to expose and inspect the ureter, followed by a possible additional incision in the vagina or perineum at the site of the ureter's abnormal termination, ultimately leading to the excision of the ectopic ureter.