CPT® Code 51900

A vesicovaginal fistula is a pathological condition characterized by an abnormal connection between the bladder and the vagina, resulting in the involuntary passage of urine into the vaginal canal. This condition can lead to significant physical and emotional distress for affected individuals. The surgical procedure denoted by CPT® Code 51900 involves an abdominal approach to effectively close this fistula. During the operation, the abdomen is surgically opened to gain access to the bladder. The surgeon carefully exposes the bladder and makes an incision to locate the fistula tract. This process includes catheterizing the ureters to ensure proper identification and management of the urinary system. The fistula tract is excised, along with any associated scar or necrotic tissue, to promote healing and restore normal anatomy. The procedure also involves meticulous dissection of the bladder wall from surrounding structures, followed by the closure of both the vaginal wall and bladder wall defects. This comprehensive approach aims to eliminate the abnormal passage and restore normal urinary function, thereby improving the quality of life for the patient.