CPT® Code 53430

Urethroplasty, specifically the reconstruction of the female urethra, is a surgical procedure aimed at repairing defects or injuries to the urethra in females. This procedure is essential for restoring normal urinary function and addressing issues such as urethral stricture or trauma. The surgery typically involves the use of various techniques, each tailored to the specific needs of the patient and the nature of the urethral defect. A Foley catheter is commonly utilized to facilitate access to the urethra during the procedure, and in some cases, a suprapubic catheter may also be inserted to manage urinary drainage. The surgical approach often includes making an inverted U-shaped incision on the anterior wall of the vagina to expose the urethral defect. The reconstruction may involve the use of a Martius flap, which incorporates labial tissue and fat to support the urethral repair. In instances where there is insufficient tissue available, a technique that allows for the rotation of a flap may be employed to create a tubular neourethra. Additionally, a less common method may involve the use of a buccal mucosal graft, which provides an alternative source of tissue for reconstruction. Overall, urethroplasty is a complex procedure that requires careful planning and execution to ensure optimal outcomes for patients suffering from urethral conditions.