CPT® Code 53265

The procedure described by CPT® Code 53265 involves the excision or fulguration of a urethral caruncle, which is a small, benign growth that can occur at the external urethral opening in both men and women. This condition may lead to symptoms such as discomfort, bleeding, or urinary issues, prompting the need for surgical intervention. The removal can be accomplished through excision, which involves cutting away the caruncle, or fulguration, a technique that utilizes heat generated by an electrocautery device or laser to destroy the abnormal tissue. The procedure is typically performed in a controlled surgical environment, with the patient positioned appropriately to allow for optimal access to the urethral area. In females, the dorsal lithotomy position is commonly used, while males are positioned supine. The surgical site is meticulously prepared and draped to maintain a sterile field. The excision process involves careful handling of the surrounding tissues to minimize trauma and ensure proper healing. Following the removal of the caruncle, the urethral mucosa and vestibular epithelium are sutured together, and in some cases, a Foley catheter may be placed to facilitate urinary drainage during the recovery period. This procedure is essential for alleviating symptoms associated with urethral caruncles and restoring normal urinary function.