CPT® Code 51980

Cutaneous vesicostomy, also known as cutaneous cystostomy, is a surgical procedure that involves creating an opening (stoma) in the abdominal wall to facilitate the drainage of urine directly from the bladder. This procedure is typically indicated for patients who may have urinary retention or other conditions that prevent normal urination. During the operation, an incision is made in the abdomen to access the bladder, and a triangular segment of the rectus fascia is excised to allow for proper placement of the stoma. The rectus muscle is then divided, providing access to the space of Retzius, where the dome of the bladder is exposed. A careful incision is made in the bladder, and the bladder wall is sutured to the rectus fascia to secure it in place. Finally, the bladder epithelium is sutured to the skin, creating a stoma through which urine can drain. An ostomy bag is then placed over the stoma to collect the urine, ensuring that the patient can manage their urinary output effectively. This procedure is crucial for patients who require an alternative method of urine drainage due to various medical conditions.