CPT® Code 52400

Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds

Cystourethroscopy is a diagnostic and therapeutic procedure that involves the use of a cystourethroscope, a specialized instrument designed to visualize the interior of the urethra and bladder. This procedure is specifically indicated for the treatment of congenital anomalies such as posterior urethral valves and obstructive hypertrophic mucosal folds. Both conditions are characterized by the presence of obstructive membranes located in the posterior segment of the male urethra, which can lead to significant bladder outlet obstruction. The cystourethroscope is carefully inserted into the urethra and advanced into the bladder, allowing the physician to directly visualize the obstructive structures. Once identified, the posterior urethral valves or mucosal folds can be addressed through various techniques, including incision, fulguration (the process of destroying tissue using heat), or resection (the surgical removal of tissue). These techniques may utilize different energy sources such as cold knife, electrocautery, or laser energy to effectively manage the obstruction and restore normal urinary function.