CPT® Code 53415

The procedure described by CPT® Code 53415 refers to a urethroplasty performed through a transpubic or perineal approach, specifically designed as a one-stage operation for the reconstruction or repair of the prostatic or membranous urethra. This surgical intervention is typically indicated in cases of injury or trauma, such as those resulting from pelvic fractures, which can compromise the integrity of the posterior urethra. The posterior urethra consists of two main segments: the prostatic urethra, which runs through the prostate gland, and the membranous urethra, which extends from the prostatic apex to the perineal membrane, ultimately connecting to the anterior urethra at the bulbar segment. The procedure involves a midline incision in the perineum, allowing for direct access to the urethra. Through careful dissection, the surgeon exposes the urethra, identifies points of obstruction, and mobilizes the urethral segments to facilitate reconstruction. The goal of this procedure is to restore normal urethral function and anatomy, thereby improving urinary flow and reducing complications associated with urethral injuries.