CPT® Code 50722

An open ureterolysis is a surgical procedure specifically designed to address ureteral obstruction caused by ovarian vein syndrome. This condition arises when an enlarged or tortuous ovarian vein exerts pressure on the ureter, leading to obstruction. The procedure involves making an incision in the abdomen to access the affected area. Once the enlarged ovarian vein is exposed, the surgeon carefully identifies and severs any adhesions that may be binding the ureter to the ovarian vein or surrounding structures. In some cases, the surgeon may need to divide the ovarian vein and excise the enlarged portion to relieve the pressure on the ureter, thereby restoring normal urinary flow. It is important to note that this procedure is distinct from ureterolysis performed for retrocaval ureter, which is a different condition involving a congenital anomaly where the ureter is positioned behind the inferior vena cava, leading to compression and obstruction. The goal of ureterolysis for ovarian vein syndrome is to alleviate the obstruction and prevent further complications associated with urinary tract obstruction.