CPT® Code 51841

The CPT® Code 51841 refers to a surgical procedure known as anterior vesicourethropexy or urethropexy, which is commonly recognized by the names Marshall-Marchetti-Krantz or Burch procedure. This operation is specifically designed to address urinary incontinence in women, a condition often resulting from the stretching of pelvic ligaments associated with vaginal wall prolapse. During the procedure, the surgeon makes an incision in the abdomen to gain access to the bladder neck and urethra. The surgical technique involves suspending the prolapsed vaginal wall and urethra to restore proper anatomical positioning and function. The procedure is characterized as complicated, indicating that it may involve secondary repair due to previous unsuccessful attempts at bladder suspension. The use of sutures through the paravaginal fascia and their attachment to structures such as Cooper's ligament or the pubic bone is critical for providing the necessary support to the bladder and urethra. It is important to note that this code is distinct from CPT® Code 51840, which is used for simpler bladder suspension procedures in patients who have not undergone prior surgical interventions.