CPT® Code 52346

Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)

Cystourethroscopy with ureteroscopy is a minimally invasive procedure that involves the use of specialized instruments to visualize and treat strictures within the urinary tract. This procedure is specifically designed to address intra-renal strictures, which are narrowings that occur within the renal pelvis or the ureter. The process begins with the insertion of a cystoscope and ureteroscope through the urethra into the bladder and then into the ureter, allowing direct visualization of the urinary tract. The ureteroscope is equipped with a camera and light source, enabling the physician to see the stricture clearly. Treatment options during this procedure may include balloon dilation, where a balloon is inflated at the site of the stricture to widen the narrowed area; laser therapy, which uses focused light energy to incise the stricture; electrocautery, which employs electrical current to cut tissue; and surgical incision to physically open the narrowed area. This comprehensive approach allows for effective management of strictures, improving urinary flow and alleviating symptoms associated with obstruction.