CPT® Code 53445

The procedure described by CPT® Code 53445 involves the insertion of an inflatable urethral or bladder neck sphincter, which is a medical device designed to help control urinary flow. This artificial urinary sphincter (AUS) can be implanted in both male and female patients who experience urinary incontinence. The AUS consists of several components, including a cuff that encircles the urethra, a pump that allows the patient to control the device, and a reservoir that holds the fluid necessary for the operation of the cuff. The procedure is performed through surgical incisions, with specific techniques tailored to the anatomy of the patient. In males, a midline incision is made in the perineum, while in females, a transverse incision is typically made in the lower abdomen, sometimes accompanied by an incision in the vaginal wall. The surgical steps involve careful dissection and placement of the device components to ensure proper function and minimize complications. The AUS is designed to provide patients with improved control over urination, significantly enhancing their quality of life.