CPT® Code 51800

Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck

CPT® Code 51800 refers to a surgical procedure known as cystoplasty or cystourethroplasty, which involves plastic reconstruction of the bladder and/or the vesical neck. This operation is performed to address various conditions that may affect the bladder's structure and function, including congenital anomalies, scarring, or deformities resulting from previous surgeries or traumatic injuries. The procedure may involve different techniques tailored to the specific condition being treated. Typically, the bladder is accessed through a low midline or transverse suprapubic incision, allowing the surgeon to expose the bladder adequately. Depending on the location of the defect, the approach may vary; for instance, defects in the posterior bladder are usually approached intraperitoneally, while those in the dome, anterior bladder, vesical neck, or urethra are approached extraperitoneally. During the procedure, the bladder is incised to inspect the defect, and portions of the bladder, bladder neck, or urethra may be excised as necessary. The bladder wall is then reconfigured to restore its integrity and function. Techniques such as plication of the bladder neck or performing a Y-plasty may be employed to address specific issues, such as an enlarged bladder trigone. This procedure is critical for restoring normal bladder function and improving the quality of life for patients with significant bladder abnormalities.