CPT® Code 53270

Excision or fulguration of Skene's glands, denoted by CPT® Code 53270, involves the surgical removal or destruction of these glands, which are also known as lesser vestibular glands, periurethral glands, or paraurethral glands. These glands are situated alongside the female urethra and can become enlarged due to conditions such as cysts or infections. The procedure aims to alleviate symptoms associated with these conditions by excising the affected gland tissue. The surgical approach may include techniques such as marsupialization or electrocoagulation, which are employed based on the specific clinical scenario. During the procedure, the surgeon locates the glands through visualization and/or palpation, followed by making an incision with straight Mayo scissors. This incision allows access to the gland, which is then carefully dissected from the surrounding tissue. In cases where tissue samples are required for further examination, they are prepared for pathology as a separately reportable procedure. The surgical site is subsequently closed in layers, ensuring that both the urethral lining and the epithelial lining of the gland are sutured appropriately. It is important to note that the use of electrocautery or laser techniques for fulguration involves the activation of these devices to destroy abnormal tissue effectively.