CPT® Code 53275

The CPT® Code 53275 refers to the surgical procedure for the excision or fulguration of a urethral prolapse. A urethral prolapse occurs when the urethra, the tube that carries urine from the bladder to the outside of the body, protrudes through the vaginal opening. This condition can lead to various symptoms, including discomfort, urinary incontinence, and difficulty urinating. Several surgical techniques are available to address this issue, with the Lowe technique and the Kelly-Burnham technique being two commonly employed methods. The Lowe technique involves performing a meatotomy, which is an incision made to relieve constriction at the meatal ring, followed by manual reduction of the prolapsed mucosa. The urethra and mucosa are then secured to the surrounding tissue using multiple mattress sutures. In contrast, the Kelly-Burnham technique utilizes a Foley catheter placed transurethrally to assist in excising the prolapsed mucosa circumferentially. The edges of the urethral and introital mucosa are then approximated and closed with interrupted sutures. This technique can be further modified by creating quadrants around the urethra with holding sutures before excising the mucosa in sections. Additionally, fulguration, which includes methods such as electrocautery, electroresection, or laser destruction, can be employed to remove the prolapsed urethral mucosa by destroying the abnormal tissue with heat generated from an electrocautery device or laser.